目的 探讨早期脑性瘫痪的CT 表现,并为评估治疗效果和选择治疗方法提供影像依据。方法 选择符合脑瘫早期定义临床标准的婴儿头颅 CT75例进行分析。结果 大部分病人CT有异常改变,包括:脑萎缩、外部性脑积水、脑软化、基底节钙化、脑发育畸形。结论 在上述异常改变中,脑萎缩与外部性脑积水在治疗效果和预后方面有很大差别,在形态学上对二者进行鉴别具有重要临床意义。 Objective To explore the CT manifestations of early cerebral palsy and provide the imaging basis for evaluating the therapeutic effect and selecting the treatment method. Methods A total of 75 cases of head CT in infants with cerebral palsy defined as early clinical criteria were selected for analysis. Results Most of the patients with abnormal CT changes, including: brain atrophy, external hydrocephalus, cerebral softening, basal ganglia calcification, brain deformity. Conclusion In the above abnormal changes, there is a great difference in the therapeutic effect and prognosis between cerebral atrophy and external hydrocephalus. It is of great clinical significance to distinguish the two in morphology.