核磁共振成像显示寨卡病毒综合征的变化

Eduarda Roncon Nardelli, G. Macedo, Beatriz Mascaro Serzedo, Clara Perissinotti Magnani, Bruna Meliunas Toledo, Julia Maria Gutierre Franco, Leonardo de Souza Piber
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引用次数: 0

摘要

目的:回顾、识别和描述先天性寨卡病毒综合征的影像学特征。方法:本文综述了磁共振(MRI)及其在先天性寨卡病毒综合征诊断中的发现。在PubMed数据库中检索了近五年内发表的文章。描述符为“寨卡病毒感染”、“寨卡病毒”和“诊断成像”。结果:我们分析了24篇将MRI作为超声检查补充工具的文章。在胎儿时期,更好的评估异常,如:多小回畸形、眼窝发育不良、无脑-厚脑回畸形和脑室肿大。产后具有较高的敏感性和特异性,是早期怀疑寨卡病毒先天性综合征的首选方法,在图像上可以看到颅面畸形、小头畸形、脑萎缩和大脑皮质厚度减少。结论:MRI显示是寨卡病毒综合征相关形态学改变的重要诊断手段,有助于对先天畸形的详细研究,从而影响母婴健康和生活质量。
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ALTERAÇÕES DA SÍNDROME DO ZIKA VÍRUS VISTAS PELA RESSONÂNCIA MAGNÉTICA
OBJECTIVES: To review, identify, and describe the imaging features of congenital zika virus syndrome. METHODS: This is a review with emphasis on magnetic resonance (MRI) and its findings in the diagnosis of congenital zika virus syndrome. Articles, published in the last five years, were searched in PubMed databases. With the descriptors "Zika Virus Infection", "Zika Virus" and "Diagnostic imaging". RESULTS: Twenty-four articles that approached MRI as a complementary tool to ultrasound findings were analyzed. In the fetal period, it is considered better to evaluate abnormalities such as: polymicrogyria, opercular dysplasia, lisencephaly-pachygyria and ventriculomegaly. In the postnatal period it presents high sensitivity and specificity, being the method of choice in the late suspicion of congenital syndrome of ZIKV, in the images it is possible to visualize craniofacial disproportion, microcephaly, cerebral atrophy and reduction of cerebral cortical thickness. CONCLUSION: MRI shows as an important diagnostic method of morphological changes related to zika virus syndrome, contributing to the detailed study of congenital malformations, thus affecting maternal and child health and quality of life.
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