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机构地区:[1]湖北省妇幼保健院放射科,湖北武汉430070
出 处:《中国实用医药》2006年第4期39-40,共2页China Practical Medicine
摘 要:目的分析婴幼儿脑性瘫痪的CT表现及对病因进行探讨。方法对205例本院儿童康复科诊断的脑瘫患儿进行颅脑CT检查。CT表现结合临床和文献进行病因探讨。结果205例颅脑CT检查颅内有异常表现的156例,其中脑白质发育减少及发育不良45例;颅内软化灶11例,其中4例合并脑穿通畸形;颅内钙化灶18例,其中宫内感染6例;灰质异位11例;巨脑回畸形8例,无脑回畸形5例;脑裂畸形12例;Danly-walker综合征5例;透明隔囊肿7例,脉络裂囊肿3例,枕大池囊肿5例;脑萎缩7例,胼胝体发育不良及缺如13例;胼胝体脂肪瘤3例,脑膜及脑膜脑膨出3例。结论婴幼儿脑瘫的颅脑CT检查有极高的价值,母体妊娠期胎儿脑发育异常可能是脑性瘫痪的主要原因。Objective To research into the pathogeny of infant cerebral palsy by the analysis on manifestation of CT scan.Methods 205 children with cerebral palsy had been performed cerebral CT scan. Results Brain CT scan showed 156 cases were abnormal out of the total 205 cases, among which,45 cases were decrease or dysplasia of medulla,11 cases were found cerebral softening focus(4 cases with encephaloclastic porecephly),18 cases had encephalic calcific focus(6 cases with infection in uterus),11 cases were exotic cortex,8 cases were pachygria,5 cases were lissencephaly?malformation,12 cases were schizencephaly,5 cases were Danly-walker syndrome, 7cases were vitrifacation septa cyst,3 cases were choroid fissure cyst,5 cases were Cisterna magna cyst,7 cases were brain atrophy,13 cases were hypogenesis of corpus callosum and congenital absence,3 cases were lipoma of corpus callosum,3 cases were encephalomeningocele.Conclusion Cerebral CT scan has significant diagnostic value on cerebral palsy infant. The dysplasia of the infantile head in the period of pregnancy may be the first cause for cerebral palsy.
分 类 号:R742.3[医药卫生—神经病学与精神病学]
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