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急性间歇性卟啉病(AIP)是具有大脑表现的一种少见的代谢性疾病,临床表现具有多样性。本文首次报道卟啉病性脑病急性期的MR弥散加权成像(DWI)。 病例 女,25岁,因急性视力丧失和严重头痛1天于1998年2月入院。入院前数周有慢性腹痛和双腿痛史,入院时血压180/100mmHg(1mmHg=0.133kPa),神经学检查示轻度认知机能障碍的双目失明,脑CT扫描示双侧枕叶有低密度灶。磁共振成像(MRI)T_2加权像(T_2-W)示双侧枕叶高信号,血液生化检查见天冬氨酸转氨酶和丙氨酸转氨酶稍高,抗核
Acute intermittent porphyria (AIP) is a rare metabolic disease with brain manifestations, with a variety of clinical manifestations. This is the first report of MR diffusion-weighted imaging (DWI) in the acute phase of porphyriopathic encephalopathy. Female, 25 years old, admitted to hospital in February 1998 due to acute vision loss and severe headache 1 day. Chronic abdominal pain and leg pain history were recorded weeks before admission. Blood pressure was 180 / 100mmHg (1mmHg = 0.133kPa) on admission, neurological examination showed binocular blindness with mild cognitive impairment, and brain CT scan showed bilateral occipital lobe Low-density stove. Magnetic resonance imaging (T_2-weighted image T_2-W) showed bilateral occipital lobe high signal, blood biochemical tests see slightly higher aspartate aminotransferase and alanine aminotransferase, anti-nuclear