Yasujima M, Konishi Y, Kuriyama M, Sudo M, Hayakawa K, Ishii Y, Konishi K, Ichise T, Haruki S, Nakamura K
No To Hattatsu. 1989 Nov;21(6):537-42.
CT and MRI in 13 patients with infantile spasms were analyzed. Cortical atrophy was found in 8 cases and ventricular dilatation in 9 cases. The patients with severe cortical atrophy or ventricular dilatation had poorer prognosis than the patients with normal CT findings. In addition to cortical atrophy and ventricular dilatation which were shown in CT, MRI revealed poor differentiation of gray and white matters in all cases and periventricular hyperintensity area in 9 patients. Six patients with the periventricular hyperintensity area of grade III and IV had severe developmental delay. With regard to the prognosis, MRI plays a more useful role in detecting intracranial pathology in infantile spasms.
对13例婴儿痉挛症患者的CT和MRI进行了分析。发现8例有皮质萎缩，9例有脑室扩张。皮质萎缩严重或脑室扩张的患者预后比CT表现正常的患者差。除了CT显示的皮质萎缩和脑室扩张外，MRI显示所有病例灰质和白质分化不良，9例患者有脑室周围高信号区。6例脑室周围高信号区为III级和IV级的患者有严重发育迟缓。关于预后，MRI在检测婴儿痉挛症的颅内病变方面发挥着更有用的作用。
