Gall M, Becker H
Fortschr Neurol Psychiatr Grenzgeb. 1978 Jul;46(7):361-8.
220 hospitalized psychiatric patients were examined by computerized tomography (CT) mostly to exclude organic brain dammage. A third of the material proved to be within the normal range, when also slight cortical and subcortical atrophies are considered to be abnormal. Pronounced cerebral atrophy was found in 26.8% of the cases, 5% revealed other significant lesions. CT is a very promissing help in distinguishing vascular from purely degenerative processes. Chronic alcoholism showed an amount of 67% cortical atrophies of all degrees. Endogenic psychoses on the other side failed to demonstrate characteristic results. Many of possible unspecific pathogenetic factors seem to play an important role in this and other disease processes. CT as an almost non-invasive method may be repeated in dubious cases.
对220名住院精神科患者进行了计算机断层扫描(CT)检查,主要目的是排除器质性脑损伤。如果将轻微的皮质和皮质下萎缩也视为异常,那么三分之一的检查结果被证明在正常范围内。26.8%的病例发现有明显的脑萎缩,5%显示有其他显著病变。CT在区分血管性病变和单纯退行性病变方面是一种非常有前景的辅助手段。慢性酒精中毒患者中,各种程度的皮质萎缩占67%。另一方面,内源性精神病未显示出特征性结果。许多可能的非特异性致病因素似乎在这种及其他疾病过程中起重要作用。CT作为一种几乎无创的方法,在可疑病例中可以重复使用。