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影像学对儿童和青少年脑血管病的分类有重要作用。我院自1989年10月至1995年2月收治经CT、DSA、MR和手术病理组织学检查确定的各型脑血管病41例,现将结果报告如下。 临床资料 一、一般资料:男22例,女19例,年龄2～18岁,其中7岁以下者8例,急性脑血管病发作病程1～7天。 二、临床表现:急性首发症状头痛、呕吐32例,肢体感觉、运动障碍15例,意识障碍10例,昏迷4例,尿失禁17例。腰穿为血性脑脊液2例。既往有头痛史11例,癫痫发作史9例,珠网膜下腔出血史2例。运动后发病7例,有外伤史2例,所有病例均无高血压史。 三、检查方法:急性脑血管病发作1～3天内行普通CT扫描,后行动脉数字减影脑血管造影,两者相隔时间1～7天,其中2例又行MRI检查。所用设备为美国GE公司9000Ⅱ型和美国PICKER公司PRE-
Imaging studies have an important role in the classification of cerebrovascular disease in children and adolescents. Our hospital from October 1989 to February 1995 were treated by CT, DSA, MR and surgical histopathology identified 41 cases of cerebrovascular disease, the results are reported as follows. Clinical data First, the general information: 22 males and 19 females, aged 2 to 18 years, of whom 8 were under 7 years of age, the course of onset of acute cerebrovascular disease 1 to 7 days. Second, the clinical manifestations: acute first symptom headache, vomiting in 32 cases, limb sensation, movement disorders in 15 cases, disturbance of consciousness in 10 cases, coma in 4 cases, urinary incontinence in 17 cases. Waist wear bloody cerebrospinal fluid in 2 cases. Past history of headache in 11 cases, history of seizures in 9 cases, 2 cases of history of subretinal hemorrhage. After the onset of disease in 7 cases, history of trauma in 2 cases, no history of hypertension in all cases. Third, the inspection methods: 1 to 3 days after the onset of acute cerebrovascular disease underwent ordinary CT scan, posterior arterial digital subtraction cerebral angiography, the time interval between 1 to 7 days, of which 2 cases underwent MRI examination. Equipment used by the United States GE Company 9000 Ⅱ type and the United States PICKER company PRE-