Dobyns W B
Medical College of Wisconsin, Milwaukee.
Neurol Clin. 1989 Feb;7(1):89-105.
A comprehensive approach to diagnosis of patients with lissencephaly using clinical, CT and MRI scan, and sometimes other laboratory data will allow a specific diagnosis to be made in a large majority of patients. The most common diagnoses in order of decreasing frequency will probably prove to be WWS, MDS, and ILS. The remainder constitute a heterogeneous group. Both diagnosis and counseling have been modified by several recent and important advances. Diagnostic criteria for WWS have been revised. Several molecular probes have been located within the MDS critical region in chromosome band 17p13.3. Prenatal diagnosis should prove to be reliable in both WWS and MDS.
采用临床、CT和MRI扫描,有时结合其他实验室数据的综合方法诊断无脑回畸形患者,可使绝大多数患者得到明确诊断。按出现频率递减排序,最常见的诊断可能是无脑回畸形综合征(WWS)、Miller-Dieker综合征(MDS)和孤立性无脑回畸形(ILS)。其余则构成一个异质性群体。近期的几项重要进展改变了诊断和咨询方式。WWS的诊断标准已经修订。已在17号染色体17p13.3区域的MDS关键区域定位了几种分子探针。WWS和MDS的产前诊断应该都是可靠的。