双侧基底节区缺氧性脑病的临床与影像学特征  

Clinlc and lmaging of the hypoxia cerebropathy in bilateral basal ganglia

作　　者：钟望涛[1] 郑华[1] 邢永前[1] 王义刚[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001

出　　处：《现代康复》2001年第2期91-91,93,共2页Modern Rehabilitation

摘　　要：目的 探讨双侧基底节区缺氧性脑病的临床表现及影像学特点。方法 回顾性分析 8例经头 MRI证实为双侧基底节区缺氧性脑病患者的临床资料及影像学改变。结果 8例均以肌张力增高、运动减少、姿势反射异常等帕金森综合征为主要表现，头 MRI表现为双侧基底节区的壳核、苍白球、尾状核头部对称性长 T1长 T2信号改变。结论 双侧基底节缺氧性脑病与皮层下型分水岭梗死 (CWI)有完全不同的临床表现和影像学改变。Objective To investigate the aetiology,pathogeny,clinic,and imaging of the hypoxia cerebropathy in bilateral basal ganglia.Methods The clinical features and imaging in 8 cases were analysed retrospectively after confirmed by MRI,with the hypoxia cerebropathy in bilateral basal ganglia.Results The main manifestation of 8 cases were Parkinsonian syndrome including hypertonia,hypomotor,and anomaly of the posture reflex,MRI scan shows the bilateral long T1 long T2 variation signal in putamens,pallidums and caput nuclei caudatis.Conclusion The clinical manifestation and imaging of the hypoxia cerebropathy in bilateral basal ganglia were different from the subcortical watershed infarct.

关 键 词：基底节 缺氧性脑病 脑分水岭梗死 帕金森综合征 迟发性神经元环死 影像学 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R742.5[医药卫生—临床医学]