婴幼儿脑型脚气病的CT诊断  

CT diagnosis of infantile beriberi

作　　者：梅海英[1] 付福亮[1] 

机构地区：[1]江西省丰城市人民医院,丰城331100

出　　处：《江西医药》2005年第10期602-604,共3页Jiangxi Medical Journal

摘　　要：目的讨论CT在诊断婴幼儿脑型脚气病的表现,以提高诊断率。方法回顾性分析9例临床证实的婴幼儿脑型脚气病的临床资料和CT影像资料,分析其CT表现特点。结果CT表现:两侧豆状核,尾状核头部同时出现对称性低密度病灶8例;尾状核头部低密度病灶呈椭圆形,仅豆状核出现对称性低密度病灶1例。伴有额、颞叶内不规则低密度影1例。另外还有几种伴发征象,双侧脑室前角变小3例,外部性脑积水1例。结论婴幼儿脑型脚气病CT表现具有一定的特征,结合临床资料能做出正确诊断。Objective To discusis CT findings of infantile beriberi so as to improve the diagnostic accuracy. Methods CT manifestations and characteristics in 9 cases of infantile beriberi proved by clinical treatment and follow up were studied retrospectively. Results CT plain scan showed bilateral symmetrical hypodense of lentiform nucleus and the head of caudate nucleus in 8 cases, and in 1 case only the lentiform nucleus were involved. The bilateral symmetrical hypodense lesions of temporoparietal lobes in 1 case.The other accompanying sings were the compression on the anterior horn of bilateral ventricles in 3 cases, external hydrocephalus in 1 case. Conclusion Correct diagnosis of infantile beriberi can be made by characteristic CT findings combined with clinical data.

关 键 词：脚气病 脑疾病 体层摄影术 X线计算机 

分 类 号：R591.420.4[医药卫生—内科学]