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目的:作者报告2例肥厚性硬脑(脊)膜炎,并结合文献对其影像学表现进行分析。材料与方法:采用CT(SCT4500TE)平扫和增强,MRI(ASM0.15P,0.15T)平扫和增强,造影剂为非离子型造影剂和Gd-DTPA顺磁性造影剂,结果:CT所见沿颅板下弥漫性硬脑膜增厚,增强后增厚硬脑膜明显强化,依部位不同可有不同的占位效应。MRI表现为T;W脊髓变细,蛛网膜腔增定,T2W脊髓弥漫性高信号,蛛网膜腔变窄,增强育髓周围硬脑膜明显强化。结论:作者认为CT、MRI检查对肥厚性硬脑、脊膜炎有较高的敏感性和特征性表现,有利于早期诊断和治疗。
OBJECTIVE: The authors report 2 cases of hypertrophic dural (spinal) meningitis and analyze the imaging findings based on the literature. Materials and Methods: CT scan and contrast enhancement (SCT4500TE), MRI (ASM0.15P, 0.15T) scan and contrast enhancement were performed. Contrast media were nonionic contrast media and Gd-DTPA paramagnetic contrast media. Results: See diffuse dura along the thickening of the skull, thickening and thickening of the dura markedly enhanced, depending on the site may have different placeholder effect. MRI showed T; W spinal cord thinning, arachnoid buildup, T2W spinal cord diffuse high signal, narrowing of the arachnoid cavity, enhance the dura mater significantly enhanced around the spinal cord. Conclusion: The authors believe that CT, MRI examination of hypertrophic sclera, meningitis has a high sensitivity and characteristic performance, is conducive to early diagnosis and treatment.