Lim K S
Gaoxiong Yi Xue Ke Xue Za Zhi. 1989 Apr;5(4):212-21.
From June. 1987 to Dec. 1988, data was collected from 12 cases with Congenital Brain Anomalies. The cases involved 7 girls and 5 boys with ages ranging from 2 days to 15 years old. Abnormalities diagnosed were Cavum-septi pellucidi; Cavum vergae; Cystic dilated cavum; Cavum veli interpositi; Lissencephaly with dysgenesis of the corpus callosum; Dysgenesis of the corpus callosum associated the midline dorsal cyst; Holoprosencephaly, alobar type; Schizencephaly associated with Hydranencephaly; Encephaloclastic porencephaly; Severe hydrocephalus; Variant type of Dandy-Walker cyst with dysgenesis of the corpus callosum; Arnold-Chiari malformation. The patients were initially seen OPD primarily for seizures and other complaints such as nystagmus with visual impairment, hypotonia, facial anomalies, Yolk-sac tumor, prematurity, dyspnea and hydrocephalus. Among these, Holoprosencephaly was easiest to diagnose because it was combined with facial anomalies. However the others required evaluation by CT. CT offers very efficient diagnostic modality which is better than a Cranial Echo. It is also safer than the invasive angiography and not as expensive as MRI.
1987年6月至1988年12月,收集了12例先天性脑异常患者的数据。这些病例包括7名女孩和5名男孩,年龄从2天至15岁不等。诊断出的异常情况有:透明隔腔;韦尔加腔;囊性扩张腔;中间帆腔;无脑回畸形伴胼胝体发育不全;胼胝体发育不全合并中线背侧囊肿;全前脑畸形,叶状型;脑裂畸形合并积水性无脑畸形;脑破坏性孔洞脑畸形;重度脑积水;丹迪-沃克囊肿变异型伴胼胝体发育不全;阿诺德-奇阿利畸形。患者最初在门诊就诊,主要是因为癫痫发作以及其他症状,如伴有视力障碍的眼球震颤、肌张力减退、面部畸形、卵黄囊瘤、早产、呼吸困难和脑积水。其中,全前脑畸形最容易诊断,因为它伴有面部畸形。然而,其他情况则需要通过CT进行评估。CT提供了非常有效的诊断方式,比头颅超声更好。它也比侵入性血管造影更安全,且不像磁共振成像那样昂贵。