皮层下动脉硬化性脑病影像学及临床研究  

Clinical and imaging study of subcortical arteriosclerotic encephalopathy

作　　者：张润希[1] 谢滨萱[1] 聂鑫[1] 

机构地区：[1]郧阳医学院附属东风医院,湖北十堰442008

出　　处：《中国实用医刊》2008年第5期28-29,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨皮层下动脉硬化性脑病（SAE）的影像学及临床表现与诊断。方法对64例SAE患者的临床及影像学表现进行回顾性分析。结果SAE在CT与MRI表现为脑室周围白质疏松，临床上以慢性进行性智能减退为主要表现，中晚期呈皮层下痴呆，多伴有高血压、视网膜动脉硬化、糖尿病和局灶性神经系统体征。结论对SAE的临床诊断应将影像学与临床表现相结合，对不典型病例应跟踪观察。Objective To study the clinical characteristics, major imaging manifestations and diagnostic criteria of subcortical arteriosclerotic encephalopathy （SAE）. Methods To review the clinical date of 64 SAE patients. Results Progressive recognition impairment was the main clinical manifestation of SAE. CT scan showed multiple hypodensity lesion in the cerebral white matter, which were manifested as long T1 and long T2 single in MRI, completed with the sign of lacunar infarction and cerebral athophy in some cases. Conclusion CT or/and MRI scan combined with clinical manifestion is the most simple and effective way in diagnoses of SAE. It is necessary for the follow - up survey of the non - typical cases.

关 键 词：皮层下动脉硬化性脑病 影像学 临床研究 

分 类 号：R743.104[医药卫生—神经病学与精神病学] R734.2[医药卫生—临床医学]