脑血吸虫与脑肺吸虫病的MRI 诊断与鉴别诊断

目的:探讨总结脑血吸虫病与脑肺吸虫病MRI影像特点,更好的指导临床早期诊断。方法:回顾分析10例脑血吸虫及9例脑肺吸虫的MRI影像特点,总结分析其影像征象及价值。结果:脑血吸虫和肺吸虫病临床表现类似,均以颅内压增高和癫痫为主要变现。MRI扫描脑血吸虫病呈多发结节信号,周围大片水肿,增强均匀或不均匀强化;肺吸虫呈斑片样及囊样信号,周围大片水肿,增强扫描环状及斑絮样强化。结论:脑血吸虫与脑肺吸虫病临床表现类似,但MRI有特定的影像特点,可以用来进行诊断。

Diagnosis and Differential Diagnosis of Cerebral Schistosomiasisand Cerebral Paragonimiasis

Objective: To investigate the characteristics of MRI in the early diagnosis of cerebral schistosomiasis and paragonimiasis.Methods: 10 cases diagnosed cerebral schistosomiasis and 9 cases diagnosed cerebral paragonimiasis underwent examination of MRI were retrospectively analyzed.The manifest and signs of them were collected and analyzed.Results: Cerebral schistosomiasis and parag-onimiasis had same clinical situation including increased intracranial pressure and epilepsy.In MRI cerebral schistosomiasis dis...