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神經影像(七十五)滲透壓性去髓鞘症候群

摘要


滲透壓性去髓鞘症候群(osmotic demyelination syndrome)是因為急遽的滲透壓改變導致神經元脫髓鞘而造成,發生原因很多,但通常是因為快速矯正低血鈉所導致。在核磁共振檢查(magnetic resonance imaging, MRI),橋腦會出現典型之T2高訊號病灶。本文以一位具有癲癇症狀之41歲男性為例,簡介滲透壓性去髓鞘症候群的發生原因、臨床症狀以及影像學表現。

參考文獻


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4. A. Prof Frank Gaillard, et al. Osmotic demyelination syndrome. In: radiopedia 2018.
5. Rohit Sharma, Yuranga Weerakkody, et al. Hepatic encephalopathy. In: radiopedia 2018.

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