Department of Radiology, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong, SAR, China.
Department of Imaging and Interventional Radiology, Prince of Wales Hospital, Hong Kong, SAR, China.
Pediatr Radiol. 2023 May;53(6):1188-1206. doi: 10.1007/s00247-022-05580-8. Epub 2023 Jan 10.
White matter changes are seen in a spectrum of disorders in children and adolescents. Understanding their distribution and appearance helps to reach diagnoses in daily radiologic practice. This pictorial essay will outline the magnetic resonance imaging (MRI) appearances of diseases with white matter changes including demyelinating diseases, dysmyelinating disorders/leukodystrophies, infections, autoimmune diseases, vascular causes, mitochondrial disorders and neurocutaneous syndromes, along with a brief overview of clinical aspects of the diseases such as typical age of presentation, etiology, symptoms and signs and treatment options. This article highlights important features in common white matter diseases in children and adolescents.
在儿童和青少年的一系列疾病中都能观察到脑白质的改变。了解其分布和表现有助于在日常放射学实践中做出诊断。本影像学文章将概述伴有脑白质改变的疾病的磁共振成像(MRI)表现,包括脱髓鞘疾病、脑白质营养不良/脑白质溶解症、感染、自身免疫性疾病、血管性疾病、线粒体疾病和神经皮肤综合征,并简要概述疾病的临床方面,如典型的发病年龄、病因、症状和体征以及治疗选择。本文强调了儿童和青少年常见脑白质疾病的重要特征。