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中华脑血管病杂志(电子版) ›› 2024, Vol. 18 ›› Issue (01) : 89 -92. doi: 10.11817/j.issn.1673-9248.2024.01.015

病例报告

急性脑梗死合并可逆性后部白质脑病一例
俞立丰1, 张仪1, 杨巧莲1, 胡薇薇1,()   
  1. 1. 100076 北京市丰台区中医医院(北京市丰台区南苑医院)神经内科
  • 收稿日期:2023-10-09 出版日期:2024-02-01
  • 通信作者: 胡薇薇
  • Received:2023-10-09 Published:2024-02-01
引用本文:

俞立丰, 张仪, 杨巧莲, 胡薇薇. 急性脑梗死合并可逆性后部白质脑病一例[J]. 中华脑血管病杂志(电子版), 2024, 18(01): 89-92.

图1 患者入院时(2022年3月2日)头磁共振成像图像。图a箭头所指为弥散加权成像(DWI)示双侧半卵圆中心斑点状新近脑梗死,左侧放射冠为著;图b箭头所指为表现弥散系数双侧半卵圆中心低信号改变,与DWI为同一层面
图2 患者入院时(2022年3月2日)颅脑磁共振血管造影。未见明显大血管狭窄
图3 患者双侧脑桥、小脑不同发病时期的液体衰减反转恢复(FLAIR)(同一层面)。图a为患者入院时FLAIR,箭头所指可见明显双侧脑桥、小脑异常信号;图b为患者发病1周时FLAIR,箭头所指处可见局部信号较前减低;图c为患者发病2个月时FLAIR,箭头所指处未见明显异常信号
图4 患者侧脑室不同发病时期的液体衰减反转恢复(FLAIR)(同一层面)。图a为患者入院时FLAIR;图b为患者发病1周时FLAIR;图c为患者发病2个月时FLAIR。均可见侧脑室旁斑片状高信号,且三次病灶未见明显变化
图5 患者头磁敏感加权成像(2022年3月7日)示多发微出血。图a箭头所指为桥脑多发微出血;图b箭头所指为左侧放射冠旁微出血
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