小儿皮层下梗塞39例临床分析

摘要:

目的 探讨皮层下梗塞的临床特征和ＣＴ，ＭＲＩ的诊断价值。方法 对３９ 例皮层下梗塞的临床资料进行分析。结果 ①病因：头轻微外伤１９ 例，上呼吸道感染７ 例，其他４ 例，８ 例原因不明；②临床表现：偏瘫２８ 例，失语４ 例，癫痫９ 例；③ＣＴ：３７ 例发现４９ 处病灶；④ＭＲＩ：７ 例发现９ 处病灶；⑤预后：３８ 例在１２ 周内症状消失。结论 小儿与成人引起皮层下梗塞病因不同，预后好。

Abstract:

Objective To evaluate the clinical characteristics of subcortical infarction (SCI)and diagnostic values of computerized tomography (CT)and magnetic resonance imaging (MRI). Methods We reviewed the clinical data of 39 cases of SCI. Results The causes of SCI included minor head injury (19 cases), upper respiratory infection (7 cases), others (4 cases) and unknown causes (8 cases). The clinical manifestations included hemiparalysis (28 cases), aphasia (4 cases), and epilepsy (9 cases). A total of 49 focal ischemic lesions were found with CT in 37 patients, and 9 focal ischemic lesions were found with MRI in 7 patients. The clinical symptoms in 38 cases disappeared within 12 weeks after therapy. Conclusions The review indicates that children with SCI have a favorable prognosis, which is probably a result of the difference in SCI etiology between children and adults.