Pierro Antonio, Posa Alessandro, Addona Tiziana, Petrosino Antonella, Galasso Vittorio, Tanzilli Alessandro, Niro Sara, Simone Fernando Antonio, Cilla Savino, Iezzi Roberto
Dipartimento di Radiologia, Ospedale Regionale, "A. Cardarelli", ASReM, Contrada Tappino, 86100 Campobasso, Italy.
Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, U.O.C. Radiologia Diagnostica e Interventistica Generale, Fondazione Policlinico Universitario, "A. Gemelli"-IRCCS, L.go A. Gemelli 8, 00168 Rome, Italy.
Life (Basel). 2022 Mar 28;12(4):488. doi: 10.3390/life12040488.
The magnetic resonance characteristics of autoimmune demyelinating diseases are complex and represent a challenge for the radiologist. In this study we presented two different cases of detected autoimmune demyelinating diseases: one case of acute disseminated encephalomyelitis and one case of neuromyelitis optica, respectively. Expected and unexpected findings of magnetic resonance imaging examination for autoimmune demyelinating diseases were reported in order to provide a valuable approach for diagnosis. In particular, we highlight, review and discuss the presence of several uncommon imaging findings which could lead to a misinterpretation. The integration of magnetic resonance imaging findings with clinical and laboratory data is necessary to provide a valuable diagnosis.
自身免疫性脱髓鞘疾病的磁共振特征复杂，对放射科医生来说是一项挑战。在本研究中，我们展示了两例检测出的自身免疫性脱髓鞘疾病：分别为一例急性播散性脑脊髓炎和一例视神经脊髓炎。报告了自身免疫性脱髓鞘疾病磁共振成像检查的预期和意外发现，以便提供有价值的诊断方法。特别是，我们着重强调、回顾并讨论了几种可能导致误诊的罕见影像学表现。将磁共振成像结果与临床和实验室数据相结合对于做出有价值的诊断是必要的。
