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慢性扩展性脑内血肿的影像学诊断

谭子琨 严荣凯 周炳 廖海燕 谭长连

中国全科医学2013,Vol.16Issue(10):1131-1133,3.
中国全科医学2013,Vol.16Issue(10):1131-1133,3.DOI:10.3969/j.issn.1007-9572.2013.04.016

慢性扩展性脑内血肿的影像学诊断

Imaging Diagnosis of Chronic Expanding Intracerebral Hematoma

谭子琨 1严荣凯 2周炳 2廖海燕 3谭长连2

作者信息

  • 1. 572000,海南省三亚市中医院放射科
  • 2. 中南大学湘雅二医院放射科
  • 3. 海南省农垦总医院放射科
  • 折叠

摘要

Abstract

Objective To investigate the CT and MRI characteristics of chronic expanding intracerehral hematoma ( CEICH ) . Methods The CT and MRI findings of 5 patients with CEICH confirmed by surgery were retrospectively analyzed. Results The CT scan showed quasi - circular or ellipse lesions with clear borders in all the 5 cases, low density or density of lesions in the center with low density well - defined edematous hoop in 2 cases, and mass effect for all the 5 cases. The enhanced CT scan showed that the hoop was slightly enhanced in 2 cases, and intermediately enhanced in 3 cases. MRI scan showed that all the 5 cases got cystic lesions of heterogeneous high signal on T1WI and T2WI, with " hoop sign" of the cystic wall of low signal on T2WI, and SWI showed a lower signal of the " hoop" . And the enhanced scan revealed a intensified hoop. Conclusion The CEICH is lack of characteristic in CT imaging, however, it has a special " hoop sign" in MRI. So MRI is an ideal examination for CEICH.

关键词

慢性扩展性脑内血肿/CT/MRI

Key words

Chronic expanding intracerebral hematoma/ CT/ MRI

分类

医药卫生

引用本文复制引用

谭子琨,严荣凯,周炳,廖海燕,谭长连..慢性扩展性脑内血肿的影像学诊断[J].中国全科医学,2013,16(10):1131-1133,3.

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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