Diverse MRI findings and clinical outcomes of acute Marchiafava-Bignami disease.
Acta Radiol
; 62(7): 904-908, 2021 Jul.
Article
en En
| MEDLINE
| ID: mdl-32718180
ABSTRACT
BACKGROUND:
The acute onset of Marchiafava-Bignami disease (MBD) is difficult to capture, and its clinical manifestations are overlapped. Magnetic resonance imaging (MRI) is very useful in the diagnosis of acute MBD.PURPOSE:
To investigate the MRI features and clinical outcomes of acute MBD. MATERIALS ANDMETHODS:
Sagittal T2-weighted (T2W) or T1-weighted (T1W) imaging, axial T1W and T2W imaging, and axial FLAIR and diffusion-weighted imaging (DWI) sequences were performed in 17 patients with acute MBD on 1.5-T MR. According to the different ranges of callosal restricted diffusion, MBD was divided into Type I (n = 7, the completely involved), Type II (n = 5, the mostly involved), and Type III (n = 5, the partly involved). The MRI findings and outcomes of each type were retrospectively analyzed.RESULTS:
With the reduced range of the callosal restricted diffusion, the callosal atrophy or cavitation was more common no case of Type I; 1 (20%) case of Type II; and 3 (60%) cases of Type III. With the increased range of callosal restricted diffusion, the extracallosal involvement was more common 6 (86%) cases of Type I; 3 (60%) cases of Type II; and 1 (20%) case of Type III. During the follow-up, five cases had neuropsychiatric sequelae 1 (14%) case of type I; 1 (20%) case of Type II; 3 (60%) cases of Type III.CONCLUSION:
The MRI findings and clinical outcomes of acute MBD are regular. The extensive restricted diffusion of acute MBD may present the curable condition. Callosal heterogeneity may affect the outcome of acute MBD.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Imagen por Resonancia Magnética
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Enfermedad de Marchiafava-Bignami
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2021
Tipo del documento:
Article