儿童小脑的血管疾病

Vascular Disorders of the Cerebellum in Children.

作者信息

De Leacy Reade A, Berenstein Alejandro, Naidich Thomas P

机构信息

Department of Neurosurgery, Cerebrovascular Center, Mount Sinai Hospital, Mount Sinai Medical Center, KCC 1-North, 1450 Madison Avenue, New York, NY 10029, USA; Department of Radiology, Cerebrovascular Center, Mount Sinai Hospital, Mount Sinai Medical Center, KCC 1-North, 1450 Madison Avenue, New York, NY 10029, USA.

Department of Radiology, Cerebrovascular Center, Mount Sinai Hospital, Mount Sinai Medical Center, KCC 1-North, 1450 Madison Avenue, New York, NY 10029, USA; Pediatric Cerebrovascular Program, Department of Neurosurgery, Cerebrovascular Center, Mount Sinai Hospital, Mount Sinai Medical Center, KCC 1-North, 1450 Madison Avenue, New York, NY 10029, USA; Department of Pediatrics, Cerebrovascular Center, Mount Sinai Hospital, Mount Sinai Medical Center, KCC 1-North, 1450 Madison Avenue, New York, NY 10029, USA.

出版信息

Neuroimaging Clin N Am. 2016 Aug;26(3):435-58. doi: 10.1016/j.nic.2016.03.009.

DOI:10.1016/j.nic.2016.03.009

PMID:27423802

Abstract

Key differences exist in the epidemiology, pathophysiology, and clinical presentation of vascular lesions of the cerebellum in children versus adults. An understanding of these differences and an appreciation of the distinct imaging features of these lesions aid in distinguishing normal vascular variations from pathology, in predicting lesion etiology, and in directing effective treatment strategies. This paper reviews the embryogenesis of the normal vascular system of the cerebellum and brainstem and then discusses the clinical and imaging features of the common vascular lesions affecting these structures in the pediatric population.

摘要

儿童与成人小脑血管病变在流行病学、病理生理学及临床表现方面存在显著差异。了解这些差异以及认识这些病变独特的影像学特征，有助于区分正常血管变异与病变，预测病变病因，并指导有效的治疗策略。本文回顾了小脑和脑干正常血管系统的胚胎发育，然后讨论了影响小儿群体中这些结构的常见血管病变的临床及影像学特征。