脑脊液分流受阻儿童的大脑中动脉搏动性
Middle cerebral artery pulsatility in children with blocked cerebrospinal fluid shunts.
作者信息
Quinn M W, Pople I K
机构信息
Department of Neurosurgery, Hospital for Sick Children, London, UK.
出版信息
J Neurol Neurosurg Psychiatry. 1992 Apr;55(4):325-7. doi: 10.1136/jnnp.55.4.325.
Abstract
The application of transcranial Doppler ultrasound to the diagnosis of blocked ventriculo-peritoneal shunts was studied in 63 children. Thirty two of these required shunt revision, whereas in 31 children symptoms resolved without surgery. The group of children requiring shunt revision had a significantly higher mean Gosling pulsatility index, than both the group of children whose symptoms resolved and a group of age-matched controls (p less than 0.001). Those with a raised pulsatility index were more likely to have higher intracranial pressure. There was no correlation between CT scan changes and the pulsatility index.
摘要
对63名儿童进行了经颅多普勒超声在诊断阻塞性脑室 - 腹腔分流术中的应用研究。其中32名儿童需要进行分流术修正，而31名儿童未经手术症状即得到缓解。需要进行分流术修正的儿童组的平均戈斯林搏动指数，显著高于症状缓解的儿童组和年龄匹配的对照组（p<0.001）。搏动指数升高的儿童更有可能颅内压升高。CT扫描变化与搏动指数之间无相关性。
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