Hamano S, Nara T, Nozaki H, Fukushima K, Imai M, Kumagai K, Maekawa K
Division of Neurology, Saitama Children's Medical Center.
No To Hattatsu. 1991 Jan;23(1):58-64.
Crossed cerebellar diaschisis (CCD) in twenty five children with hemiplegia were studied using single photon emission computed tomography (SPECT) with N-isopropyl-p-I-123-iodoamphetamine. Seven of twenty-five patients had cerebral palsy, and the others were impaired by acquired brain injury between ten months and fourteen years of age. CCD was demonstrated in five patients (20%), who were impaired by acquired brain injury after seven years of age. CCD could never be detected in patients with cerebral palsy. Ipsilateral cerebellar diaschisis was also demonstrated in two patients with cerebral palsy and three with early acquired brain injury before three years of age. It is suggested that diaschisis presents itself as a different form in a contralateral and ipsilateral cerebellum before three years of age from a form which presents after seven years of age.
采用单光子发射计算机断层扫描(SPECT)及N-异丙基-p-I-123-碘安非他明对25例偏瘫患儿的交叉性小脑失联络(CCD)进行了研究。25例患者中有7例患有脑瘫,其余患者在10个月至14岁之间因获得性脑损伤而受损。5例(20%)因7岁后获得性脑损伤而受损的患者出现了CCD。脑瘫患者从未检测到CCD。2例脑瘫患者和3例3岁前早期获得性脑损伤患者也出现了同侧小脑失联络。提示失联络在3岁前以对侧和同侧小脑的不同形式出现,与7岁后出现的形式不同。