MRI findings of neurologic complications in infants with hand-foot and mouth disease
WANG Wei-xiu1, REN Qing-yun1, HE Li1, GENG Rong-na2, ZHANG Jun-xi2
1. Department of Radiology, the First Hospital of Hebei University, Shijiazhuang 050031, China;2. The Children’s Hospital of Hebei Province, Shijiazhuang 050031, China
摘要目的：探讨小儿手足口病（Hand-foot and mouth disease，HFMD）合并中枢神经系统损害的MRI表现，以提高对本病的认识。方法：回顾性分析有阳性MRI表现的30例HFMD患儿的影像学资料。结果：脑干脑炎9例，其中6例合并颈段脊髓炎；单纯脊髓炎21例。脑干脑炎MRI表现为脑桥延髓交界处偏背侧斑片状异常信号，T1WI呈等或低信号、T2WI呈高信号，其中2例中脑受累，1例右侧丘脑受累。脊髓炎MRI表现为单侧或双侧脊髓前角区等或长T1长T2信号，病变多集中于C2~C5和/或T11~L1。结论：MR检查能清楚显示HFMD患儿中枢神经受损情况，为临床诊断、治疗提供可靠的影像学依据。
2012, Vol. 23 
