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阿尔茨海默病的鉴别诊断。脑萎缩与正常压力脑积水。

The differential diagnosis of Alzheimer's disease. Cerebral atrophy versus normal pressure hydrocephalus.

作者信息

George A E, Holodny A, Golomb J, de Leon M J

机构信息

Department of Radiology, New York University Medical Center, New York, USA.

出版信息

Neuroimaging Clin N Am. 1995 Feb;5(1):19-31.

PMID:7743082
Abstract

This article summarizes the neuroradiology of Alzheimer's disease (AD) and details the radiologic features that permit the identification of patients with normal pressure hydrocephalus (NPH). Patients with presumed AD show a characteristic atrophy pattern with specific involvement of the temporal lobes and hippocampus. These findings have prognostic implications. Patients with NPH typically show severe motoric and gait deficits and initially mild cognitive impairment. Marked improvement is shown in select patients after ventricular shunting.

摘要

本文总结了阿尔茨海默病(AD)的神经放射学,并详细阐述了有助于识别正常压力脑积水(NPH)患者的放射学特征。疑似AD患者表现出特征性的萎缩模式,颞叶和海马体有特定受累。这些发现具有预后意义。NPH患者通常表现出严重的运动和步态缺陷,最初有轻度认知障碍。部分患者在进行脑室分流术后显示出明显改善。

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Diagnosis of Normal-Pressure Hydrocephalus: Use of Traditional Measures in the Era of Volumetric MR Imaging.正常压力脑积水的诊断:在容积磁共振成像时代传统方法的应用
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J Neurol. 2014 Oct;261(10):1994-2002. doi: 10.1007/s00415-014-7454-0. Epub 2014 Aug 1.
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Differential diagnosis of normal pressure hydrocephalus by MRI mean diffusivity histogram analysis.MRI 平均扩散率直方图分析对正常压力脑积水的鉴别诊断。
AJNR Am J Neuroradiol. 2013 Jun-Jul;34(6):1168-74. doi: 10.3174/ajnr.A3368. Epub 2012 Dec 20.
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Proton chemical shift imaging in normal pressure hydrocephalus.常压性脑积水的质子化学位移成像
AJNR Am J Neuroradiol. 2001 Oct;22(9):1659-64.