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病例 #27

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患者信息: 17 岁, 女性
检查指征: 脑病

病例 #27

影像所见

  • 右侧为主的双侧丘脑及右侧为主的双侧中脑背侧T2/FLAIR高信号，累及导水管周围灰质、下丘脑、前联合和乳头体
  • 右侧丘脑和右侧偏心中脑囊性变区域
  • 无对应强化或弥散受限
  • 无明显颅内占位效应或脑积水征象

带注释的图像和插图

FLAIR signal hyperintensity along the ependymal margins of the third ventricle and cerebral aqueduct, extending into the right greater than left thalami.

FLAIR signal hyperintensity along the ependymal margins of the third ventricle and cerebral aqueduct, extending into the right greater than left thalami.

FLAIR signal hyperintensity along the ependymal margins of the third ventricle and cerebral aqueduct, extending into the right greater than left thalami.

FLAIR signal hyperintensity along the ependymal margins of the third ventricle and cerebral aqueduct, extending into the right greater than left thalami.

诊断

视神经脊髓炎（NMO）

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讨论

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要点

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参考文献

  • Dutra BG, da Rocha AJ, Nunes RH, Maia ACM. Neuromyelitis optica spectrum disorders: Spectrum of MR imaging findings and their differential diagnosis. Radiographics 2018; 38(1): 169-193.

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