CAJ | 학술논문

目的：探讨肥厚性硬膜炎的临床与影像学表现特征，以提高对本病的认识和诊断水平。方法回顾分析14例确诊的肥厚性硬膜炎患者的临床和影像检查资料，总结其临床及影像学表现特征。结果14例中男性8例，女性6例，平均发病年龄(54.9±11.5)岁；14例中以头痛或头晕为首发症状10例；10例MRI平扫表现为大脑镰及小脑幕部位硬膜弥漫性增厚，4例为局限性增厚；Gd-DTPA增强扫描，增厚的硬膜呈明显均匀一致的强化。结论肥厚性硬膜炎的MR表现以硬膜弥漫或局限增厚为主要特征，结合典型临床表现诊断可明确诊断。
목적：탐토비후성경막염적림상여영상학표현특정，이제고대본병적인식화진단수평。방법회고분석14례학진적비후성경막염환자적림상화영상검사자료，총결기림상급영상학표현특정。결과14례중남성8례，녀성6례，평균발병년령(54.9±11.5)세；14례중이두통혹두훈위수발증상10례；10례MRI평소표현위대뇌렴급소뇌막부위경막미만성증후，4례위국한성증후；Gd-DTPA증강소묘，증후적경막정명현균균일치적강화。결론비후성경막염적MR표현이경막미만혹국한증후위주요특정，결합전형림상표현진단가명학진단。
Objective To study the clinical and imaging features of hypertrophic pachymeningitis,and to improve the diagnostic level.Methods The clinical information and the imaging examination data of 14 patients with hypertrophic pachymeningitis were analyzed retrospectively.The clinical and imaging features were summarized. Results 8 patients were male,and 6 patients were femal.The average age of symptom onset in the 14 patients was 54.9±11.5 years old.10 patients presented headache. MRI scan showed widespread enhanced thickening brain parenchyma in 10 cases,and focal enhanced thickening brain parenchyma in 4 cases after media administration. Conclusion The main MRI features of hypertrophic pachymeningitis were widespread or focal enhanced thickening brain parenchyma,and the common clinical manifestions were headache.Combined typical clinical and MRI features,hypertrophic pachymeningitis can be diagnosed easily.