CT诊断婴儿脑型脚气病  

CT diagnosis of brain type infantile beriberi

作　　者：夏黎明 

机构地区：[1]浙江省开化县人民医院放射科,浙江众衢州324300

出　　处：《中国医学影像技术》2004年第12期1850-1852,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　探讨婴儿脑型脚气病的CT表现特点及诊断价值。方法　回顾性分析 5 7例脑型脚气病婴儿临床和CT资料。结果　 5 7例患儿 ,重要临床表现为精神萎靡、嗜睡、抽搐、声嘶、呛奶等症状。颅脑CT主要表现 :双侧基底节区梭形或楔形对称“八”字形排列的低密度影 ,脑实质内片状低密度影。用维生素B1治疗 2～ 7天后症状及体征基本消失。 1～ 3个月CT复查 ,病灶基本吸收。结论　颅脑CT表现可作为临床诊断婴儿脑型脚气病的重要依据之一。Objective To discuss the CT appearance and diagnostic value of brain type infantile beriberi (thiamine deficiency). Methods The CT features of 57 cases of brain type beriberi were retrospectively analyzed. Results Of all the 57 cases, the common important clinical complains were weary, twitch, hoarseness and cough. The main appearances on brain CT scans included symmetrically distributed bilateral low densities in the basal ganglia region, which appeared as spindlelike or cuniformlike lesions, as well as low density area in the brain parenchyma. The symptoms and signs were disappeared 2-7 days after treatment with thiamine, 1-3 months CT follow up showed that the lesions were almost absorbed. Conclusion Bain CT features can be considered as one of the important evidences for the clinical diagnosis of the brain type infantile beriberi.

关 键 词：脚气病:维生素缺乏症 体层摄影术 X线计算机 

分 类 号：R814.42[医药卫生—影像医学与核医学] R591.421[医药卫生—放射医学]