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慢性酒精中毒患者的胼胝体萎缩与脑血流量

Corpus callosum atrophy and cerebral blood flow in chronic alcoholics.

作者信息

Oishi M, Mochizuki Y, Shikata E

机构信息

Department of Neurology, Nihon University Nerima Hikarigaoka Hospital, Tokyo, Japan.

出版信息

J Neurol Sci. 1999 Jan 1;162(1):51-5. doi: 10.1016/s0022-510x(98)00279-2.

Abstract

The corpus callosum atrophy and cerebral blood flows were investigated in chronic alcoholics without Marchiafava-Bignami disease. Fifteen cases of chronic alcoholics and 15 age-matched healthy controls were studied. The sagittal plane of magnetic resonance imaging of the head was scanned into a computer and the corpus callosum was measured and the callosal index was calculated. Cerebral blood flows were measured using stable xenon computed tomography (CT) method. Regional cerebral blood flows in the frontal, temporal, parietal and occipital cortex, frontal, temporal and occipital white matter, caudate nucleus, putamen and thalamus were measured. The corpus callosum area, the thickness of the genu, the thickness of the trunk, the thickness of the splenium, and the callosal index were significantly smaller in the chronic alcoholic group than in the healthy control group. Blood flows in the cerebral cortex, thalamus and putamen were significantly lower in the chronic alcoholic group than in the healthy control group. Significant positive correlations were present between the corpus callosum atrophy and the cerebral cortex blood flows. Corpus callosum atrophy and decreased cerebral blood flows may be seen in chronic alcoholics without Marchiafava-Bignami disease.

摘要

对无马奇亚法瓦-比尼亚米病的慢性酒精中毒患者的胼胝体萎缩和脑血流量进行了研究。研究了15例慢性酒精中毒患者和15名年龄匹配的健康对照者。将头部磁共振成像的矢状面扫描进计算机,测量胼胝体并计算胼胝体指数。使用稳定氙计算机断层扫描(CT)方法测量脑血流量。测量额叶、颞叶、顶叶和枕叶皮质、额叶、颞叶和枕叶白质、尾状核、壳核和丘脑的局部脑血流量。慢性酒精中毒组的胼胝体面积、膝部厚度、体部厚度、压部厚度和胼胝体指数均显著小于健康对照组。慢性酒精中毒组的大脑皮质、丘脑和壳核血流量显著低于健康对照组。胼胝体萎缩与大脑皮质血流量之间存在显著正相关。在无马奇亚法瓦-比尼亚米病的慢性酒精中毒患者中可出现胼胝体萎缩和脑血流量减少。

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