·17CHINESEJOURNALOFCTANDMRI,FEB.2023,Vol.21,No.02TotalNo.160【第一作者】赵文，男，副主任医师，主要研究方向，腹盆部核磁共振影像诊断。E-mail：390798401@qq.com【通讯作者】钱伟军，男，主任医师，主要研究方向：腹盆部核磁共振影像诊断。E-mail：3029175291@qq.com论著TheClinicalValueofMRIManifestationsandClinicalFeaturesofInflammatoryDemyelinatingPseudotumoroftheBrain*ZHAOWen,QIANWei-jun*.DepartmentofImaging,KaifengCentralHospital,Kaifeng475000,HenanProvince,chinaABSTRACTObjectiveTheimagingcharacteristicsandclinicalcharacteristicsof50casesofencephalitisdemyelinatingPseudotumorweresummarizedtoimprovetheimagingandclinicaldiagnosislevelofdemyelinatingPseudotumor.MethodsTheanalysisandstudyof50patientsconfirmed19casesofencephalitis-inflammatorydemyelinomaaftersurgicalpathology,and31casesofinflammatorydemyelinomaconfirmedbyclinicaltreatment.ResultsUsingGESilent1.5TsuperconductingMRscannertoobtainimaginggraphicsfor50patients,MRIexamination30patientsdetectedatotalof66lesionswereT1WIlowsignal,T2WIhighsignal,T2WIlesioncenterisveryhighsignalshadow,edgeslightlyhighersignalshadow,DWIacutestage,subacutestagelesionshighsignalshadow,andthenthesignalgraduallyreduced,lesionsAD.Enhancedscanningof60lesionsfortification,6lesionswithoutreinforcement,31lesionsirregularnon-closedringreinforcement(half-moonsigns),openingtowardsthecorticalorsubstratesectiongraymass,4lesionsringstrengthening,15casesoflesionsverticallateralbrainchamberflame-likereinforcementandcanbeseenperpendiculartotheenlaryveinshadowofthebrainchamber,comb-likestructure(combsigns),10lesionsirregularpatch-likereinforcement,6lesionswithoutreinforcement.Theformoflesionsismainlymorethan2cmdiameterround,lesionscanalsobesingleormultiple.Clinicalmanifestationsarealsocharacteristic;inmiddle-agedandyoungpeople,clinicalmanifestationsarenotdirectlyrelatedtothenumberoflesionsinthebrain,andthelocationoflesionsiscloselyrelated,mainlycharacterizedbyheadacheasthefirst,visionloss,decreasedawarenessfunction,memorylossandothercharacteristics,noepilep...
