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題名 | Rhinocerebral Mucormycosis: How Proton MR Spectroscopy Assisted Diagnosis of Acute Infarction Superimposed with Cerebritis=鼻腦白黴菌病:如何用質子核磁共振頻譜幫助診斷急性中風合併腦炎 |
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作者姓名(中文) | 林昭君; 郭禹廷; 林威成; 蔣宜璋; 劉金昌; 蔡志仁; 蘇哲能; 吳明修; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 29:3 2004.06[民93.06] |
頁次 | 頁137-142 |
分類號 | 414.93 |
關鍵詞 | 腦梗塞; 核磁共振頻譜; 白黴菌病; Brain infract; Magnetic resonance spectroscopy; Mucormycosis; |
語文 | 英文(English) |
中文摘要 | 我們報告一位76歲的女性病患,有慢性糖尿病且控制不好的病史,病人感染了鼻腦白黴菌病且併發急性腦中風。病人腦部的磁振影像可看到左前大腦動脈供流區域的缺氧及磁振血管攝影上相對應的血管堵塞。質子磁振頻譜則顯示出一個上升的choline peak在3.2 ppm和一個不正常succinate peak在2.4 ppm。這在急性中風區域的質子磁振頻譜是不常見的。因此,質子磁振頻譜也許可以幫助診斷由鼻腦白黴菌引起的腦炎。 |
英文摘要 | A 75-year-old female patient with poorly-controlled diabetes who developed rhino-cerebral mucormycosis and acute stroke is reported. The magnetic resonance (MR) imaging revealed acute stroke in the territory of left anterior cerebral artery territory and corresponding steno-occlusive lesion on MR angiography. Proton MR spectroscopy (MRS) of her brain was obtained with chemical shift imaging, which revealed increased choline peak at 3.2 ppm and a succinate peak at 2.4 ppm. This was not usually present in patients with stroke. Cerebritis caused by mucormycosis may be diagnosed with the aid of MRS. |
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