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脑性瘫痪的MRI诊断价值
http://www.100md.com 《实用医技杂志》 2007年第6期
脑性瘫痪;MRI;诊断,,],脑性瘫痪;MRI;诊断,1资料与方法,2结果,参考文献:
     [摘 要] 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例脑瘫患儿的头颅资料(1.5 T),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例患者MRI检未见明确异常。结论:MRI检查对小儿脑瘫的早期诊断和预后判断有重要价值。

    [关键词] 脑性瘫痪;MRI;诊断

    MRI Assessment of Cerebral Palsy in Children

    YAO Chenggang,FANG Jia,SONG Faliang

    (Produce and Consruct Corps' Hospital of Xinjiang,Shihezi,Xinjiang 832000,China)

    Abstract:Objective To evaluate the effect of magnetic resonance imaging (MRI) on cerebralpal sy (CP) in children.Methods In 35 children with cerebral palsy,the brain scans were studied with 1.5 T magnetic resonance scanner.The types of palsy were spastic CP(n=16),extrapyramildal CP (n=7),hypotonic CP (n=4),and mixed CP (n=8).Results Of all patients,32 (91%) demonstrated abnormal findings with MRI.MRI showed brain atrophy in 11 cases,delayed myelinization in 8 cases,periventricular leukomalacia in 6 cases,abnomal signals of the basal ganglia in 5 cases,brain malaria in 5 cases,cortical infarction in 3 cases and congenital deformation in 4 cases,no abnormal finding in 3 cases.Conclusion MRI is a useful tool for the early diagnosis and the prognosis of cerebral palsy in children. ......

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