Ferrante L, Delitala A, Celli P, Biasibetti G
Riv Neurol. 1979 Jul-Aug;49(4):323-40.
We have studied 15 occipital, 3 frontal and one parietal cases of encephaloceles from the point of view of the etiopathogenetic, clinic and especially diagnostic problem. The diagnosis of M.E. is based on: 1) the x-ray demonstration of the bone-gap by particular projections and by tomography; 2) in the frontal M.E. the presence of face deformity, with hipertelorism and widening of nose bridge and the finding of ectopic tissue in the nose or in the oral cavity in presence of palatoschisis. Cerebral angiography and pneumoencephalography, made by tomography, are useful to show the herniated brain, hydrocephalus and other associated anomalies. Finally we think computerized tomography (C.T.) is very important for the diagnosis, since it shows the herniation, the bone-gap and the kind of herniated tissue.
我们从病因发病机制、临床尤其是诊断问题的角度研究了15例枕部、3例额部和1例顶部脑膨出病例。脑膜膨出的诊断基于：1）通过特殊投照和体层摄影显示骨缺损；2）在额部脑膜膨出中，存在面部畸形，如眼距过宽、鼻梁增宽，以及在腭裂存在时在鼻腔或口腔中发现异位组织。通过体层摄影进行的脑血管造影和气脑造影有助于显示疝出的脑组织、脑积水和其他相关异常。最后，我们认为计算机断层扫描（CT）对诊断非常重要，因为它能显示疝出情况、骨缺损以及疝出组织的类型。
