Zusammenfassung
Eine Vielzahl unterschiedlicher Erkrankungen kann sich mit bilateralen Thalamusläsionen
manifestieren. Dazu gehören einerseits vaskuläre Erkrankungen, die eine möglichst
rasche therapeutische Intervention erfordern, wie z. B. die Basilarisspitzenembolie
und die innere Hirnvenenthrombose, sowie andererseits auch Tumoren, infektiöse oder
demyelinisierende Erkrankungen sowie metabolisch-toxische Veränderungen. Eine detaillierte
Kenntnis der typischen bildgebenden Befunde der verschiedenen Krankheitsbilder ist
daher für eine aussagekräftige radiologische Diagnose unerlässlich. Die vorliegende
Arbeit gibt einen Überblick über die radiologischen Befunde der wichtigsten bithalamischen
Erkrankungen und liefert eine aktuelle Literaturübersicht zu diesem Thema.
Abstract
A multitude of different diseases can result in bilateral thalamic lesions. These
include vascular pathologies requiring prompt therapeutic intervention, such as basilar
thrombosis or thrombosis of the internal cerebral veins, as well as tumors, infectious
or demyelinating diseases, and toxic-metabolic lesions. Therefore, detailed knowledge
of the typical radiological findings for the various diseases is essential for determining
the correct diagnosis. This review provides a synopsis of the radiological findings
for the most important bithalamic lesions and an overview of the literature.
Key words
thalamus - bilateral lesions - MRI
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Dr. Jennifer Linn
Abteilung für Neuroradiologie Universitätsklinikum München
Marchioninistrasse 15
81377 München
Phone: ++49/89/70 95 32 61
Fax: ++49/89/70 95 25 09
Email: linn@nrad.de
