特发性基底节钙化的临床分析  

Clinical analysis of idiopathic basal ganglia calcification

作　　者：陈素芬[1] 杨期明[1] 雷源标[1] 曹莉梅[1] 赵巧珍[1] 陈鹏[1] 胡海冰[1] 

机构地区：[1]南华大学附属郴州市第一人民医院中心医院神经内科二区,湖南423000

出　　处：《脑与神经疾病杂志》2010年第1期59-61,共3页Journal of Brain and Nervous Diseases

摘　　要：目的探讨特发性基底节钙化的临床特点与头部CT表现,防止漏诊及误诊。方法分析24例特发性基底节钙化的临床特点与头部CT的表现。结果(1)24例病例均为散发;(2)临床表现主要为癫癎发作、锥体外系症状、进行性痴呆、头昏、失眠等,亦可无临床表现,血清钙、磷均正常;(3)头颅CT主要表现为对称性双侧基底节钙化。结论特发性基底节钙化的临床表现无特异性。在排除其它可引起基底节钙化的相关疾病的基础上,头颅CT及实验室检查对本病诊断有重要意义,尤其对无症状者更有意义。Objective To study the clinical characteristic and image of head CT in idiopathic basal ganglia calcification,and to keep from misdiagnosing.Methods Review and analyse the clinical characteristic and image of head CT in 24 cases with idiopathic basal ganglia calcification.Results （1）The 24 cases are not aggregative;（2）There are some main clinical manifestations, such as extrapyramidal symptoms, falling sickness, progressive dementia, dizziness,insomnia and so on cohile some have no clinical manifestations. But ,all of them are normal in calcium of blood and serium inorganic phosphorus;（3） Head CT mainly shows symetrical and two-sided basal ganglia calcification, the positive rate of diagnosis in MRI is not high. Conclusion There is no specificity in the clinical manifestation of idiopathic basal ganglia calcification. Excluding the other correlated disease with basal ganglia calcification, the head CT and laboratory examination are important for it＇s diagnosis,especially for asymptomatic person.

关 键 词：基底节钙化 临床表现 头颅CT 实验室检查 

分 类 号：R742[医药卫生—神经病学与精神病学]