脑脓肿

MRI is more sensitive than CT to distinguish the cerebritis stage from the capsule stage. Conclusion: MRI features of brain abscess were well corelated to the clinical stages and pathological changes. MRI is powerful in the determination of clinical stages of brain abscess.

脑脓肿的MRI特征与其临床分期及病理学变化的相关性较好，能更加准确、简便、迅速地区别脓肿的脑炎期和包膜形成期，可作为临床诊治脑脓肿的有力参考。

CONCLUSION摘要: DWI and ADC value are helpful to differentiate capsule formation stage of abscess from cystic/necrotic tumor, but not helpful to distinguish evolution stage/cerebritis stage of abscess from cystic/necrotic tumor.

结论摘要：DWI及ADC值有助于鉴别包膜期脑脓肿和坏死囊变脑转移瘤，对吸收期脑脓肿和坏死囊变脑转移瘤的鉴别诊断无明显意义。

METHODS摘要: Fourteen patients proved pathologically as brain abscess and 17 cystic/necrotic metastatic tumor underwent conventional MRI and DWI examinations. DWI signal and ADC value were evaluated in cerebritis stage, capsule formation stage, and evolution stage of brain abscess and compared with those of cystic/necrotic metastatic tumor. Chisquared test and t test were performed for statistic analysis.

方法摘要：病理及临床证实脑脓肿14例，坏死囊变脑转移瘤17例，经常规磁共振检查及弥散加权检查，在脑脓肿脑炎期、包膜期及吸收期进行弥散信号及ADC值的测量，并和坏死囊变脑转移瘤相比较，统计学分析采用χ2检验和t检验。

METHODS: Fourteen patients proved pathologically as brain abscess and 17 cystic/necrotic metastatic tumor underwent conventional MRI and DWI examinations. DWI signal and ADC value were evaluated in cerebritis stage, capsule formation stage, and evolution stage of brain abscess and compared with those of cystic/necrotic metastatic tumor. Chisquared test and t test were performed for statistic analysis.

病理及临床证实脑脓肿14例，坏死囊变脑转移瘤17例，经常规磁共振检查及弥散加权检查，在脑脓肿脑炎期、包膜期及吸收期进行弥散信号及ADC值的测量，并与坏死囊变脑转移瘤相比较，统计学分析采用χ2检验和t检验。

METHODS: Fourteen patients proved pathologically as brain abscess and 17 cystic/necrotic metastatic tumor underwent conventional MRI and DWI examinations. DWI signal and ADC value were evaluated in cerebritis stage, capsule formation stage, and evolution stage of brain abscess and compared with those of cystic/necrotic metastatic tumor.

病理及临床证实脑脓肿14例，坏死囊变脑转移瘤17例，经常规磁共振检查及弥散加权检查，在脑脓肿脑炎期、包膜期及吸收期进行弥散信号及ADC值的测量，并与坏死囊变脑转移瘤相比较，统计学分析采用χ2检验和t检验。

Besides hemal sex migraine, cause the cause that have a headache a lot of, if abscess of all sorts of sexual disease, encephalitis, meningitis, head is affected inside skull; All sorts of cerebral blood-vessel pathological changes, if cerebral block, cerebral hemorrhage, arachnoid haemorrhage finishing speech, ventricle bleeds, Hypertensive Cerebral disease; A pathological change is taken inside skull, if colloid tumour mixes meningeal tumour, head,transfer tumor; All sorts of heads are traumatic if defeat of cerebral concussion, head cracks injury, putamen,issue haematoma; The waist is worn cause low skull pressure head painful; All sorts of neuralgic; The headache of disease of facial features division and infection, toxic, heatstroke and nerve function all can be caused mussily have a headache.

除了血管性偏头痛外，引起头痛的原因很多，如颅内感染性疾病、各种脑炎、脑膜炎、脑脓肿；各种脑血管病变，如脑梗塞、脑出血、蛛网膜下腔出血、脑室出血、高血压脑病等；颅内占位病变，如脑膜瘤、脑胶质瘤和转移肿瘤；各种脑外伤如脑震荡、脑挫裂伤、硬膜下血肿；腰穿引起低颅压头痛；各种神经痛；五官科疾病的头痛以及感染、中毒、中暑和神经功能紊乱均可引起头痛。

Results:40 cases of stereotactic opera tions were successfully performed with the help of the robot. These operations i ncluded intratumoral irradiation, biopsy of brain lesion, evacuation of abscess or haemorrhagia, and removal of foreign body.

结果：临床成功应用机器人辅助完成脑立体定向手术40例，包括脑肿瘤内放疗、脑内病变活检、脑脓肿抽吸、脑内血肿排空、金属异物取出等手术。

METHODS: Between January 2002 and June 2007, 16 children with multilocular brain abscess underwent an operation using a pure endoscopic procedure.

该文通过总结应用神经内镜治疗儿童多房脑脓肿的临床经验，探讨神经内镜技术在手术治疗儿童多房脑脓肿中的作用。

In this serises,21 cases had facial paralysis,19 cases with suppurative labyrinthitis.3 cases with meningitis, 17 cases with periauricular abscess, 17 cases with postauricular fistula,4 cases with otogenic meningitis brain absess, 2 cases with lesion of sigmoid sinus and,1 cases with influence under temporalis,1 case with neck abscess,I case with mandible arthritis.

结果74例患者中单项并发症者62例(83.8%)，2项并发症者12例(16.2%)，并发症总计86例次：其中周围性面瘫21例次(24.4%)，迷路炎19例次(22.1%)，脑膜炎3例次(3.5%)，耳后骨膜下脓肿17例次(19.8%)，耳后瘘管17例次(19.8%)，脑脓肿4例次(4.7%)，乙状窦病变2例次(2.3%)，颞肌下感染1例次(1.2%)，颈部脓肿1例次(1.2%)，下颌关节炎1例次(1.2%)。

This trichrome stain demonstrates the light blue connective tissue in the wall of an organizing cerebral abscess.

MRI显示大的多腔的脑脓肿。三色染色显示出亮蓝色的机化的脑脓肿壁的结缔组织。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。