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Binswanger、disease(BD)又称皮层下动脉硬化性脑病,表现为中、老年人进行性痴呆,多伴有长期的高血压、动脉硬化,是一种缺血性或血管性脱髓鞘病变。以往诊断多依靠尸检证实,直到1987年本病的文献报道尚不足50例,随着CT、MRI的相继问世,BD的检出率明显增高,我们对这一疾病有了新的认识,但对其临床诊断标准仍在探讨中。本文对我科1992～1997年收治临床诊断为Binswanger病的20例患者的临床及影像资料进行分析,报告如下。
Binswanger, disease (BD), also known as subcortical arteriosclerotic encephalopathy, is characterized by progressive dementia in the middle-aged and elderly people, often accompanied by long-term hypertension and arteriosclerosis and is an ischemic or vascular demyelinating disease. In the past, the diagnosis was mostly confirmed by autopsy. Until 1987, there were less than 50 cases reported in the literature. With the advent of CT and MRI, the detection rate of BD was significantly increased. We have got a new understanding of this disease, Its clinical diagnostic criteria are still under discussion. This article from 1992 to 1997 in our department clinically diagnosed as Binswanger disease in 20 cases of clinical and imaging data analysis, the report is as follows.