影像学上大脑深部灰质核团对称性病变的病因探讨

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1、广西医科大学研究生学院影像学上大脑深部灰质核团对称性病变的病因探讨不同对病因的诊断有很大帮助。3．不同的疾病常常易损坏基底节区不同的核团，所以病变部位对病因的诊断有所帮助。4．临床表现特别是病史及辅助检查结合影像学特点，对诊断双侧灰质核团对称性病变的病因尤为重要。关键字基底节，灰质核团，丘脑，对称性病变，神经影像学广西医科大学研究生学院影像学上大脑深部灰质核团对称性病变的病因探讨ANAIYZINGTHER姐HOGENIESOFR鲴_IENSWITHSYMMETRICIM匕久GINGLESIONSOFTHEDEEPGRA

2、YNUCLEIABSTRACT0bjectiVe：TDdiscussthecausesofsymmetriclesionsofsubcorticalgraymatternucleiwithclinicalmanifestationfromneuroimagingstudy，andtoimproVethediagnosisability．Method：ToStudysymmetriclesionsofsubcorticalgraymaIternuclei(71cases)diagnosedbyCTorMRIinourho

3、spitalorbyconsultationfrom2003Jan．to2007Sep．andtomakeananalysisandcomparisonwithhistory、clinicalmanifestationandfeaturesofneuroimaging．Result：Geneticdiseases(20cases)werethemostcommon，，includingⅪnnie卜wilsonsyndrom9(16cases)，Huntingtondisease(2cases)，essentialtre

4、mor(1case)，andFahrdisease(1case，includingseVenpeopleofthreegenerationsfromthesamefamily)．Thesecondonewastoxicdiseases(16cases)，includingofcafbonmonoxide(CO)intoxation(7cases)whichwasthemostcommonamongthem，chronicmanganism(4cases)，heroinspongiformleukoencephalopa

5、thy(HSLE)(1case)，organophosphoruspesticide(3cases)andunknownmaterialintoxation(1case)．Thethirdwasmetabolicdiseases(13cases)，includinghypoparathyroidism(8cases)，wernickeencephalopathy(4cases)，centralpontinemyelinolysis(1case)whichduetotoorapidcorrectionof3广西医科大学研

6、究生学院影像学上大脑深部灰质核团对称性病变的病因探讨hyponatremia，andchronichepaticencephalopathy(1case)．Thefbrthwashypoxicischaemicdiseases(10cases)，includinghypoVolemicshock(5cases)，diseasesappearedaftercardiopulmonaryresuscitation(2cases)，hypoxemia(2cases)，andHann’ssyndrome(1case)．Thef

7、ifthwasVasculardiseases(5cases)，mostofthemwereischemiccerebroVasculardiseases，including4casesoftopofthebasilarsyndromeandonecaseofneonatalapoplexy．Therewere2casesofcephalitisinVolVingthalamusand1caseofcentralneⅣoussystemlymphoma．Therewere2caseswithunknownreason．

8、0neofthemhadextracorticospinaltractsymptomandchangesonMRI：hyperintensityonT1WI，hyperintensityonT2WIofglobuspallidus．Theotherappearednumbnessandtremorandshowedisointen