Zhu S G
Affiliated Hospital, Shandong Medical University, Jinan.
Zhonghua Wai Ke Za Zhi. 1991 Apr;29(4):244-5, 271.
In 45 cases of porencephaly 35 were male and 10 female. Their age ranged from 80 days to 58 years (mean 14 years). In this series, symptoms were observed 80 days to 22 years before diagnosis. twenty-four cases were premature delivery, difficult labour or birth trauma. 14 cases had a history of head injury. 36 cases had congenital porencephalic cyst and 9 had post-traumatic porencephaly. The main symptoms and signs of porencephaly were dementia, speech defect, intracranial hypertension, hydrocephalus, epilepsy, ataxia or paralysis. etc. It is suggested that CT scan is very useful in the diagnosis of porencephaly, and section of cerebral cortex, opening of cyst, continuous drainage or shunting operation should be done as soon as the diagnosis was made.
在45例脑穿通畸形病例中，男性35例，女性10例。年龄范围为80天至58岁（平均14岁）。在这组病例中，症状出现在诊断前80天至22年。24例为早产、难产或产伤。14例有头部受伤史。36例有先天性脑穿通囊肿，9例有外伤性脑穿通畸形。脑穿通畸形的主要症状和体征为痴呆、言语缺陷、颅内高压、脑积水、癫痫、共济失调或瘫痪等。建议CT扫描对脑穿通畸形的诊断非常有用，一旦确诊应尽快进行大脑皮质切除术、囊肿切开术、持续引流或分流手术。
