头颅CT显示偏瘫伴多个脑室周围强化病灶。

Hemiparesis with multiple periventricular enhancing lesions on cranial CT.

作者信息

Kuroiwa Y, Nishimura Y, Kobayashi S, Mizoguchi K, Honda N

出版信息

J Neurol. 1982;228(2):143-6. doi: 10.1007/BF00313759.

Abstract

A 23-year-old woman had progressive right hemiparesis followed by spontaneous clinical remission. The clinical profile and multifocal contrast-enhancing CT lesions in the periventricular region of the cerebrum favored the diagnosis of an acute demyelinating process. Serial examinations showed resolution of CT abnormalities. Right internal carotid angiography showed prominent deep draining medullary veins with fleck-like stains. The angiographic appearances might reflect vascular involvement in the demyelinating process.

摘要

一名23岁女性出现进行性右侧偏瘫，随后临床症状自发缓解。其临床特征以及大脑脑室周围区域多灶性强化CT病变提示急性脱髓鞘病变的诊断。系列检查显示CT异常消失。右侧颈内动脉血管造影显示深部引流髓静脉增粗并有斑点状造影剂染色。血管造影表现可能反映了脱髓鞘病变过程中的血管受累情况。