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【影像征象】蜂鳥(niǎo)征 | The Hummingbird sign

 zskyteacher 2018-11-17

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【Radiology-Signs in imaging】
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Explanation

The hummingbird sign is a finding  seen mid-sagittal plain MRI, in patients with demonstrated in all progressive supranuclear palsy, simulating the mouth of hummingbird sign.
蜂鳥(niǎo)征見(jiàn)于進(jìn)行性核上性麻痹( progressive supranuclear palsy,PSP)患者M(jìn)R正中矢狀面圖像。因形似蜂鳥(niǎo)的嘴,,因而稱(chēng)為“蜂鳥(niǎo)征”,。

蜂鳥(niǎo)



Mid sagittal MRI T2-weighted image revealing midbrain atrophy (thin arrow), and cistern dilatation with preserved pons (thick arrow) resembling a hummingbird.



Mid sagittal MRI T2 weighted image of age sex matched control revealing absence of hummingbird sign.

DISCUSSION

Progressive supranuclear palsy is a neurodegenerative disorder, mainly affecting eye movements, cognition and posture.
進(jìn)行性核上性麻痹是一種神經(jīng)退行性疾病,主要影響眼球運(yùn)動(dòng),、認(rèn)知和步態(tài),。


MRI findings of progressive supranuclear palsy are midbrain atrophy with dilated cisterns, thinning of the quadrigeminal plate, third ventricular dilatation and the characteristic hummingbird sign.
進(jìn)行性核上性麻痹的MRI表現(xiàn)為中腦萎縮伴腦池?cái)U(kuò)大、四疊體變薄,、第三腦室擴(kuò)大和特征性蜂鳥(niǎo)征,。


Hummingbird sign in progressive supranuclear palsy patients was due to atrophy of the midbrain and relative lengthening of the interpeduncular fossa and preserved pons.
進(jìn)行性核上性麻痹患者的蜂鳥(niǎo)征是由于中腦萎縮、腳間窩和腦橋相對(duì)延長(zhǎng)所致,。


Using mid-sagittal plain MRI, the hummingbird sign was demonstrated in all progressive supranuclear palsy patients but was negative in Parkinson disease and controls.
在MRI正中矢狀面,,所有進(jìn)行性核上性麻痹患者均可見(jiàn)蜂鳥(niǎo)征,但帕金森病和對(duì)照組均為陰性,。


Hummingbird sign on MRI has a sensitivity of around 100%. Hummingbird sign on MRI can be a useful diagnostic clue for physicians for confirmation of diagnosis of progressive supranuclear palsy and can help to differentiate from Parkinson disease.

在MRI,,蜂鳥(niǎo)征敏感度約為100%。蜂鳥(niǎo)征可作為進(jìn)行性核上性麻痹的有效診斷征象,,并可與帕金森病相鑒別,。


Mid sagittal MRI T2-weighted image revealing midbrain atrophy (thin arrow), and cistern dilatation with preserved pons (thick arrow) resembling a hummingbird.

正中矢狀位MRI T2加權(quán)成像顯示中腦萎縮(細(xì)箭頭),腦池?cái)U(kuò)張及腦橋(粗箭頭),,酷似蜂鳥(niǎo),。


Close differential diagnoses of this condition are Parkinson disease, multiple-system atrophy, and corticobasal degeneration.

密切鑒別診斷包括帕金森病、多系統(tǒng)萎縮和皮質(zhì)基底變性,。


參考文獻(xiàn)

Shukla Rakesh, Sinha Manish, Kumar Rajesh, et al. 'Hummingbird' sign in progressive supranuclear palsy.[J]. Annals of Indian Academy of Neurology,12,2(2009-07-1), 2009, 12(2):133.


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