溫馨提示 今天給大家?guī)?lái)的內(nèi)容是 歡迎添加小編微信。 Explanation 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)
DISCUSSION Progressive supranuclear palsy is a neurodegenerative disorder, mainly affecting eye movements, cognition and posture. 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. Hummingbird sign in progressive supranuclear palsy patients was due to atrophy of the midbrain and relative lengthening of the interpeduncular fossa and preserved pons. Using mid-sagittal plain MRI, the hummingbird sign was demonstrated in all progressive supranuclear palsy patients but was negative in Parkinson disease and controls. 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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來(lái)自: zskyteacher > 《中樞神經(jīng)系統(tǒng)》