Vlasiuk V V, Barashkova S V
Arkh Patol. 2013 Sep-Oct;75(5):8-12.
The paper describes white matter lesions that differ from periventricular leukomalacia (PVL), such as diffuse leukomalacia (DL) and telencephalic gliosis (TG). There are three types of cerebral leukomalacias: PVL, DL, and subcortical leukomalacia. The morphological differences between PVL and DL are considered. The diffuse form of PVL is described. It is pointed out that colliquation PVL foci frequently occur in infants with birth weight less than 1500 g. There are data on the morphology of TG in which generalized and occasionally large-focal astrogliosis develops in the cerebral hemispheric white matter. It is suggested that it is inexpedient to identify the focal and diffuse components of PVL. The immunihistochemical findings led to the conclusion that PVL, DL, and TG did not result from the direct effects of pathogens of inherited infections on brain tissue.
该论文描述了与脑室周围白质软化症(PVL)不同的白质病变,如弥漫性白质软化症(DL)和端脑胶质增生(TG)。脑白质软化症有三种类型:PVL、DL和皮质下白质软化症。文中考虑了PVL和DL之间的形态学差异。描述了PVL的弥漫形式。指出液化性PVL病灶常发生于出生体重小于1500g的婴儿。文中有关于TG形态学的数据,其中在大脑半球白质中出现广泛性且偶尔为大片状的星形胶质细胞增生。有人认为,区分PVL的局灶性和弥漫性成分是不合适的。免疫组织化学研究结果得出结论,PVL、DL和TG并非由遗传性感染病原体对脑组织的直接作用所致。