Grigore Ioana, Diaconu Georgeta
Facultatea de Medicină, Doctorand al Universităţii de Medicină Si Farmacie Gr. T. Popa Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2010 Jul-Sep;114(3):748-52.
The aim of this study was to determine clinico-radiologic correlations, using cranial magnetic resonance imaging (IRM)/computed tomographic exam (CT), in cerebral palsy (CP).
We studied 129 children (86 males, 43 females; aged 2-18 years) diagnosed with different types of CP. Computed tomographic examinations was performed in 100 (77.52%) of children and IRM in 29 (22.48%).
In 19 (14.72%) children the neuroimaging exam was normal. At 110 (85.28%) patients the IRM/CT showed different types of abnormalities. The most common neuroimaging findings was ventriculomegaly (38 cases), followed by focal infarct (28 cases), periventricular leukomalacia (17 cases), cortical and cortical/subcortical atrophy (13 cases), basal ganglia lesions (12 cases) and cortical migration and organization problems (12 cases). The CT/IRM abnormalities was associated in 65.45% of cases with mental retardation and 44.54% presented epileptic seizures. In CP neuroimaging findings are common, but variable and IRM/CT change correlates with neurological assessment.
Patients with CP and mental retardation or/and epilepsy were more likely to have obvious CT/IRM changes.
本研究旨在利用头颅磁共振成像(IRM)/计算机断层扫描检查(CT)确定脑瘫(CP)的临床-放射学相关性。
我们研究了129名被诊断为不同类型脑瘫的儿童(86名男性,43名女性;年龄2至18岁)。100名(77.52%)儿童进行了计算机断层扫描检查,29名(22.48%)进行了IRM检查。
19名(14.72%)儿童的神经影像学检查正常。110名(85.28%)患者的IRM/CT显示出不同类型的异常。最常见的神经影像学表现是脑室扩大(38例),其次是局灶性梗死(28例)、脑室周围白质软化(17例)、皮质及皮质/皮质下萎缩(13例)、基底节病变(12例)以及皮质迁移和组织问题(12例)。CT/IRM异常在65.45%的病例中与智力发育迟缓相关,44.54%的病例出现癫痫发作。在脑瘫中,神经影像学表现常见,但具有变异性,且IRM/CT改变与神经学评估相关。
患有脑瘫且伴有智力发育迟缓或/和癫痫的患者更有可能出现明显的CT/IRM改变。