先兆子痫子痫可逆性后部脑白质病并发症的MRI诊断.pdf

·625· 先兆子痫、子痫可逆性后部 脑白质病并发症的MRI诊断 刘庆先，夏爽，祁 吉 (天津医科大学一中心临床学院放射科，天津300192) 摘要：目的探讨先兆子痫、子痫的脑部并发症一可逆性后部白质脑病综合征的MRI诊断特点。方法回顾性分析14例妊 娠期间或产后出现癫痫、头痛、视物模糊的先兆子痈、子痫并发PRES患者的临床及影像学资料，其中2例为顺产后3～5d发生子 瘸，7例为产前先兆子痈、子痈行剖宫产术后，5例为胎死宫内伴发子痈前期重度或子痈。14例患者均行MRI检查，检查序列包括： 例)、双侧小脑半球(1例)多发异常信号，病变主要位于双侧顶枕叶皮层下白质内，但6例患者顶枕叶皮质、1例患者颞叶皮质亦可 最佳。 中国分类号：R714．24+5；R742；R445．2文献标识码：A 文章编号：1002—1671(2009105一0625一04 MRI of in PosteriorReversible or Diagnosis EncephalopathySyndromeEclampsiaPre--eclampsia Ji LfUgng--xian-X工AShuang，QJ 【Department FirstCentral Medical ofRadiology-theHospital-TianjinUniversity，n口巧in ToevaluatetheroleofMRIin of reversible ec— Aht眦t：0bjective diagnosisposterior encephalopathy or Theclinicaland dataof14 or whowereinthe lampsiapreeclampsia．Methodsimaging preeclampisaeclampsiapatients pregnancy or occurred andvisiondeficient．2were for3～5 and delivery occurredec． postpartumepilepsy．headace patientsspontaneous days were with or underwithcesarean weredeadfetusin 1ampsia-7patientsantepartum eclampsia-then section-5patients preeclampsia uteruswith underwentMRI examinationsincluded andaxial eclampsia．A1lpatients examinations-the coronal，sagittalTlWI-T2WI- MRVinall12 showedn