Differential diagnosis between cerebral tuberculosis and neurocysticercosis by magnetic resonance spectroscopy

被引：53
作者：
Pretell, EJ
Martinot, C
Garcia, HH
Alvarado, M
Bustos, JA
Martinot, C
机构：
[1] Inst Especializado Ciencias Neurol, Cysticercosis Unit, Lima 1, Peru
[2] CERMA, Lima, Peru
[3] Univ Peruana Cayetano Heredia, Dept Microbiol, Lima, Peru
[4] Inst Especializado Ciencias Neurol, TB Control Program, Lima, Peru
来源：
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY | 2005年 / 29卷 / 01期
关键词：
D O I：
10.1097/01.rct.0000149959.63294.8f
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Single enhancing brain lesions (SELs), mostly as a result of neurocysticercosis or tuberculosis, are a common cause of seizures. Ten patients with SELs caused by neurocysticercosis (n = 6) or tuberculosis (n = 4) were examined by proton magnetic resonance spectroscopy. Tuberculomas had a high peak of lipids, more choline, and less N-acetylaspartate and creatine. The choline/creatine ratio was greater than 1 in all tuberculomas but in none of the cysticerci. Magnetic resonance spectroscopy differentiates SELs caused by cysticercosis or tuberculosis and may avoid brain biopsies or unnecessary antituberculosis treatments.
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页码：112 / 114
页数：3
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