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目的讨论重症手足口病的合并脑炎的颅脑磁共振成像(MRI)表现特征,提高诊断水平。方法回顾性分析手足口合并脑炎的10例重症手足口病的MRI表现。结果 4例病灶位于桥脑,2例位于桥脑和延髓结合处,2例位于单侧丘脑,1例位于延髓背侧,1例桥脑病变合并颈段脊髓病变。所有病例病变均呈稍长T1,稍长T2片状信号,边缘欠情。结论重症手足口病MRI主要表现表现为脑干及脊髓处片状异常信号,MRI能够明确显示其病变情况,能够对临床治疗提供可靠的影像学依据。
Objective To discuss the features of craniocerebral magnetic resonance imaging (MRI) in patients with severe hand-foot-mouth disease complicated with encephalitis and to improve the diagnostic level. Methods The MRI findings of 10 cases of severe HFMD in hand, foot and mouth with encephalitis were analyzed retrospectively. Results Four lesions were located in the pons, two in the pontine and medulla oblongata, two in the unilateral thalamus, one in the dorsal medulla oblongata, and one in the pontine lesions with cervical spinal cord lesions. Lesions in all cases showed a slightly longer T1, slightly longer T2 patchy signal, the edge of love. Conclusion The main manifestations of severe hand-foot-mouth disease MRI manifestations of abnormal signals of the brain stem and spinal cord slices, MRI can clearly show the disease, can provide a reliable basis for clinical imaging.