CAJ | 학술논문

目的：：复习放射性脑病的发病机制、临床特点、诊断及治疗，分析其鉴别诊断，降低早期误诊率。方法：回顾分析1例入院时疑为脑胶质瘤的放射性脑病患者的临床表现、影像特点及诊治经过，并结合文献对诊疗经验进行总结。结果：放射性脑病的临床表现与影像特点常不典型，有时需病理检查才能与相关疾病鉴别。结论：放射性脑病的诊断需要与脑胶质瘤或胶质瘤复发、脑转移瘤、脑梗死、脑脓肿等相鉴别。
목적：：복습방사성뇌병적발병궤제、림상특점、진단급치료，분석기감별진단，강저조기오진솔。방법：회고분석1례입원시의위뇌효질류적방사성뇌병환자적림상표현、영상특점급진치경과，병결합문헌대진료경험진행총결。결과：방사성뇌병적림상표현여영상특점상불전형，유시수병리검사재능여상관질병감별。결론：방사성뇌병적진단수요여뇌효질류혹효질류복발、뇌전이류、뇌경사、뇌농종등상감별。
Objective:To review the pathogenesis of radiation encephalopathy,clinical features,diagnosis and treatment,ana-lyze the differential diagnosis and reduce early misdiagnosis rate. Methods:Retrospectively analyze the clinical manifestations,imaging features and treatment procedure of one case of patient with radiation encephalopathy who was suspected glioma admission,summarize the experience of diagnosis and treatment and review the literature. Results:Clinical manifestations and imaging features of radiation en-cephalopathy are not typical,and sometimes pathological examination are needed to identify specific related disease. Conclusion:Radia-tion encephalopathy diagnosis should be distinguished with glioma,recurrent glioma,brain metastases,cerebral infarction or cerebral ab-scess.