Kolawole T M, Patel P J, Mahdi A H
Department of Radiology, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Pediatr Radiol. 1989;20(1-2):23-7. doi: 10.1007/BF02010628.
The CT findings in 120 cerebral palsied children are analysed. The 72.5% positive findings are correlated with the clinical types, as well as the aetiological basis for the cerebral palsy. The spastic type, 83.3% of the total number of children, had the highest positive findings. The yield was increased in children with seizures (91.3%) and those in the postnatal group (90%), as well as those with birth trauma and neonatal asphyxia (94%). The findings were those of atrophy in 30.8%, hydrocephalus, in 10%, infarct in 11.6%, porencephaly in 8.3% and others. The atropic changes and their patterns are explained. Treatable lesions, such as tumour, hydrocephalus, subdural haematoma, porencephaly and hygroma were identified in 22.5% of cases. It is concluded that CT scan is definitely efficacious in the management of cerebral palsied children.
对120例脑瘫患儿的CT检查结果进行了分析。72.5%的阳性结果与临床类型以及脑瘫的病因相关。痉挛型患儿占患儿总数的83.3%，其阳性结果最高。癫痫患儿（91.3%）、出生后组患儿（90%）以及有产伤和新生儿窒息的患儿（94%）的阳性检出率有所增加。检查结果显示，30.8%为萎缩，10%为脑积水，11.6%为梗死，8.3%为脑穿通畸形，其余为其他情况。对萎缩性改变及其模式进行了解释。在22.5%的病例中发现了可治疗的病变，如肿瘤、脑积水、硬膜下血肿、脑穿通畸形和蛛网膜囊肿。得出的结论是，CT扫描在脑瘫患儿的治疗中确实有效。
