论文部分内容阅读
目的探讨脑性瘫痪患儿MRI形态学改变及诊断价值。方法回顾性研究35例脑瘫患儿的头颅MRI资料(1.5T),其中痉挛性脑瘫16例,锥体外系脑瘫7例,肌张力低下脑瘫4例,混合型脑瘫8例。结果32例患儿(91%)颅脑MRI显示异常。其中脑萎缩11例,脑白质髓鞘发育延迟8例,脑室周围白质软化灶6例,基底节异常信号5例,脑软化灶5例,皮层梗死病灶3例,先天畸形4例。3例病人MRI检查未见明确异常。结论MRI检查对小儿脑瘫的诊断和预后判断有重要价值。
Objective To investigate the MRI morphological changes and the diagnostic value of children with cerebral palsy. Methods A retrospective study of 35 cases of children with cerebral palsy MRI data (1.5T), including spastic cerebral palsy in 16 cases, extrapyramidal cerebral palsy in 7 cases, hypotonia with cerebral palsy in 4 cases, 8 cases of mixed cerebral palsy. Results 32 cases of children (91%) MRI showed abnormal brain. There were 11 cases of brain atrophy, 8 cases of degeneration of myelin in white matter, 6 cases of periventricular leukomalacia, 5 cases of basal ganglia abnormal signal, 5 cases of cerebral softening, 3 cases of cortical infarction and 4 cases of congenital malformation. MRI examination of 3 patients showed no clear abnormalities. Conclusion MRI examination of children with cerebral palsy diagnosis and prognosis of great value.