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本文回顾性研究了164例儿童脑瘫(CP)的脑部CT表现,发现异常者151例,占93%。CT异常表现;①脑室周围白质软化(PVL),容量减少(124/137);②脑室扩大,变形(114/137);③脑室外脑脊液(CSF)间隙增宽(87/137);④脑实质内低密度区(12/137)。⑤其它如先天性脑畸形(27/137)等。这些异常所见与患者临床表现关系密切。本研究显示了影像学检查对CP的诊断价值.突出了PVL及其后遗改变在CP发病学中的作用。文中资料表明,早产可能是重度脑白质丧失的最重要因素;大脑纵裂中后份增宽是重度脑组织丧失的征象;出生后脑缺血缺氧可能是CP患儿重度脑室扩大的主要原因;CP患儿脑部病变以一侧为主者常表现为对侧肢体不同程度中枢性瘫痪。
This paper retrospectively studied 164 cases of cerebral palsy (CP) in children with brain CT findings, 151 cases were found abnormal, accounting for 93%. CT abnormalities; periventricular leukomalacia (PVL), reduced capacity (124/137); ventricular enlargement, deformation (114/137); ③ cerebroventricular cerebrospinal fluid (CSF) gap widened (87/137); ④ brain Substantially low density area (12/137). ⑤ others, such as congenital brain deformities (27/137) and so on. These abnormal findings and the clinical manifestations of patients close. This study shows the diagnostic value of imaging examination of CP. Highlighting the role of PVL and its prognosis in CP pathogenesis. The data indicate that premature delivery may be the most important factor of severe white matter loss. The widened posterior part of the longitudinal brain is a sign of severe brain tissue loss. Post-natal cerebral ischemia / hypoxia may be the main cause of severe ventricular enlargement in children with CP. CP patients with brain lesions on one side mainly for the performance of the contralateral limb varying degrees of central paralysis.