GLOBUS-PALLIDUS ALTERATIONS AND BRAIN ATROPHY IN LIVER-CIRRHOSIS PATIENTS WITH ENCEPHALOPATHY - AN MR IMAGING STUDY

被引:76
作者
ZENEROLI, ML
CIONI, G
CRISI, G
VEZZELLI, C
VENTURA, E
机构
关键词
BRAIN MR; BRAIN ATROPHY; CHRONIC PERSISTENT HEPATIC ENCEPHALOPATHY; CHRONIC RECURRENT HEPATIC ENCEPHALOPATHY; HYPERINTENSITY OF THE T-1-WEIGHTED IMAGE OF GLOBUS PALLIDUS;
D O I
10.1016/0730-725X(91)90414-H
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Brain magnetic resonance (MR) was performed in 29 liver cirrhosis patients without (N = 10) and with hepatic encephalopathy (HE) of chronic recurrent (N = 10) and of chronic persistent (N = 9) type. Sixty percent of the patients with chronic recurrent HE and 100% of the patients with chronic persistent HE showed a bilateral and symmetrical hyperintensity of the globus pallidus in the T1-weighted images while the T2-weighted images were normal, suggesting the possibility of the accumulation of a paramagnetic compound in this brain area during HE. Other findings of the study were evidence of brain atrophy of mild or moderate degree in 70% of patients with chronic recurrent HE and in 77% with chronic persistent HE and patients with liver cirrhosis without HE appeared normal on MR examination.
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页码:295 / 302
页数:8
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