12岁女孩的硬脑膜下积脓：磁共振成像的价值

Subdural empyema in 12-year-old girl: the value of magnetic resonance imaging.

作者信息

Maytal J, Patel M, Apeatu S, Schneider S, Eviatar L

机构信息

Division of Pediatric Neurology, Schneider Children's Hospital, Long Island Jewish Medical Center, New Hyde Park, NY 11040, USA.

出版信息

J Neuroimaging. 1996 Oct;6(4):258-60. doi: 10.1111/jon199664258.

DOI:10.1111/jon199664258

PMID:8903084

Abstract

A 12-year-old girl presented with an acute history of fever, headaches, and focal neurological deficits. An initial computed tomography (CT) scan of the head was nondiagnostic whereas plain and gadolinium-enhanced magnetic resonance imaging (MRI) detected an extensive subdural empyema. The report emphasizes the hazard of relying on a nondiagnostic CT scan in a septic patient with deteriorating neurological function, and the need of MRI with contrast enhancement if subdural empyema is a serious clinical concern.

摘要

一名12岁女孩出现发热、头痛及局灶性神经功能缺损的急性病史。头部的初次计算机断层扫描（CT）未得出诊断结果，而普通及钆增强磁共振成像（MRI）检测到广泛的硬膜下积脓。该报告强调了在神经功能恶化的脓毒症患者中依赖未得出诊断结果的CT扫描的风险，以及如果硬膜下积脓是一个严重的临床问题时进行增强磁共振成像的必要性。