Rothstein T L, Shaw C M
Ann Neurol. 1983 Mar;13(3):331-3. doi: 10.1002/ana.410130319.
Computerized tomography (CT) in a pathologically proven case of acute hemorrhagic leukoencephalitis (AHL) showed a mass effect and increased absorption coefficient in the right hemisphere within 18 hours of the onset of neurological symptoms. The changes corresponded to the site of white matter edema, necrosis, and petechial hemorrhages demonstrated postmortem. The early changes of CT reflect the hyperacute nature of AHL and differ from those of herpes simplex encephalitis.
在一例经病理证实的急性出血性白质脑炎(AHL)病例中,计算机断层扫描(CT)显示,在神经症状出现后的18小时内,右侧大脑半球出现占位效应,吸收系数增加。这些变化与死后尸检所见的白质水肿、坏死及瘀点性出血部位相符。CT的早期变化反映了AHL的超急性本质,与单纯疱疹病毒性脑炎的变化不同。