摘要
目的 探讨皮层下动脉硬化性脑病的CT表现及其在诊断中的应用价值。方法 回顾性分析24例皮层下动脉硬化性脑病患者的临床及CT资料,根据侧脑室周围脑白质病变的程度不同,将其分为Ⅰ～Ⅲ型。结果 Ⅰ型2例,痴呆症状轻微。Ⅱ型和Ⅲ型22例,均有较明显的智能障碍。Ⅰ～Ⅲ型均伴不同程度的脑萎缩、脑梗塞和脑出血。结论 皮层下动脉硬化性脑病具有较典型的CT表现及临床特点。对SAE的临床诊断不宜过分强调痴呆,否则不利于该病的早期诊断。
Purpose To study CT findings and clinical diagnostic value of subcortical arteriosclerotic encehalopathy. Methods The clinical data and CT images of 24 cases with subcortical arteriosclerotic encehalopathy were retrospectively analyzed. They were categorized into three types (typeⅠ ,Ⅱ ,Ⅲ ) according to the different degrees lesion of white matter around lateral ventricle. Results Slight dementia were found in 2 cases in type Ⅰ , but obvious impairment of intelligence and ability were seen in other 22 cases in type Ⅱ and type Ⅲ . There were different degrees' appear of brain atrophy, infarction and bleeding in all types. Conclusion Typed CT findings and clinical characteristic can be find in the subcortical arteriosclerotic encehalopathy.
出处
《上海医学影像》
2003年第1期52-53,共2页
Shanghai Medical Imaging
