作者：呂卓白玉雪
**：《中國現代醫生》2023年第36期
[摘要] 目的評價顱腦mri檢查在非酒精中毒性韋尼克腦病診斷中的價值。方法對4例非酒精中毒性韋尼克腦病患者的臨床特徵、顱腦mri影像及**轉歸等資料進行統計、對比、分析。結果本組顱腦mri顯示，兩側丘腦內側、第三腦室周圍、導水管周圍、前聯合、視交叉、延髓背側可見多發對稱性長t1長t2訊號影，t2flair呈高訊號影，兩側側腦室旁t2flair可見多發小片狀高訊號影，腦室系統未見異常，中線結果居中。
隨訪顯示4例**患者，隨著臨床表現好轉，其顱腦mri異常訊號逐漸消失。結論顱腦mri檢查對非酒精中毒性韋尼克腦病具有重要診斷價值，其異常訊號顯示的範圍反映了疾病的嚴重程度。
[關鍵詞] 韋尼克腦病；磁共振成像；診斷價值
[中圖分類號] r445.2；r747.9 [文獻標識碼] b [文章編號] 1673-9701（2011）36-93-02
diagnostic value of mri for non-alcoholic wernicke's encephalopathy
lv zhuo1 bai yuxue2
of imaging，siping city central people's hospital in jilin province，siping 136000，china； of ct，jilin oilfield general hospital，songyuan 131106，china
[abstract] objective to evaluate the diagnostic value of cranial mri for non-alcoholic wernicke's encephalopathy. methods clinical features，cranial mri images and treatment outcome and other data of four cases of non-alcoholic wernicke's encephalopathy patients were compared and statistically analyzed. results the cranial mri showed that both sides of the medial hypothalamus，three ventricle around inside the thalamus，periaqueduct，the former joint, optic chiasm, dorsal medulla had multiple symmetric long t1，t2 signal intensity，t2flair showed high signal intensity，and both sides lateral side t2flair seen multiple small pieces of high signal intensity，ventricular system was normal，and the results of the center line was central.
follow-up showed four cases of patients of rehabilitation with clinical improvement，their cranial mri signal abnormalities gradually disappeared. conclusion cranial mri examination for non-alcoholic wernicke's encephalopathy has important diagnostic value，and the range of the abnormal signal display reflects the severity of the disease.
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