摘要
目的探讨特发性非家族性大脑基底节钙化的临床类型和影像学特点。方法对156例经颅脑CT证实的大脑基底节钙化患者的临床表现和钙化分布特点进行分析。结果钙化局限于双侧苍白球以内,临床多无症状和体征;钙化范围可扩大到脑叶或小脑等;且双侧不对称时,临床多表现为头痛头晕、震颤、肢体活动受限、言语不清、痴呆等。结论特发性非家族性基底节钙化可分为生理性和病理性。生理性钙化临床意义相当于松果体和脉络丛钙化;病理性钙化临床意义相当于Fahr病的病理性钙化。基底节钙化出现的临床症状取决于受损部位,多与神经元损害的程度有关。治疗主要采取改善脑循环及对症处理。
Objective To study clinical types and features of the idiopathic, non-familial cerebral basal ganglia calcification. Methods Clinical manifestation and distributing features of calcification of 156 patients who had been proved to suffer from cerebral basal ganglia calcification by CT of the brain were analyzed. Results The calcification was confined to two sides of pallidus, the choroids plexuses and the pineal body, most of cases showed no symptoms and syndromes. Clinical manifestations were headache, tremor, limb movement limitation, alalia, dementia if it was not symmetric of the two sides. Conclusion The idiopathic, non-familial basal ganglia calcification could be divided into two types： physiology and pathology. The clinical meaning of the physiological basal ganglia calcification is tantamount to the calcification of the pineal body and the choroids plexuses. The clinical meaning of the pathological basal ganglia calcification is tantamount to the pathological calcification of the Fahr disease. The clinical symptom of basal ganglia calcification depends on the damaged position and is usually related to the damaging extent of neuron. The therapies mainly include ameliorating of brain circulation and dealing with symptoms.
出处
《青岛医药卫生》
2010年第2期89-91,共3页
Qingdao Medical Journal
关键词
特发性
基底节钙化
诊断显像
临床
Idiopathic
Basal ganglia calcification
Diagnostic imaging
Clinical
