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“血管发育异常性坏死性脑病”及其不同表现。与年龄相关的类型及临床病理表现综述。

"Angiodysgenetic necrotizing encephalopathy" and its different manifestations. Survey of age-related forms and clinico-pathological appearances.

作者信息

Schmitt H P, Bersch W, Carls C

机构信息

Institute of Neuropathology, University of Heidelberg, Federal Republic of Germany.

出版信息

Acta Neuropathol. 1988;75(6):621-6. doi: 10.1007/BF00686208.

Abstract

Various observations of diffuse meningo-cerebral angiomatoses, which cannot be satisfactorily classified with the common phakomatoses, have been reported. They may occur at any age, with familial accumulation or sporadically. Divry and van Bogaert were the first to draw attention to such conditions in adults, where meningo-cerebral angiomatoses seemed to be combined with sudanophilic leukodystrophy. However, subsequently the latter was considered to be due to hypoxic damage to the white matter. In other observations, the severe damage to the grey matter was more evidently of hypoxic origin. Observations on two newborn individuals, sporadic examples of diffuse meningo-cerebral angiomatosis and with severe necrotic changes in the grey and white matter, are reported and discussed. Published reports on the various age-related forms are summarized and a general designation is suggested, which includes the various observations under a general heading. A parallel will be drawn between the meningo-cerebral angiomatosis and Foix-Alajouanin's disease.

摘要

已报道了各种弥漫性脑膜脑血管瘤病的观察结果,这些病例无法用常见的 phakomatoses 进行令人满意的分类。它们可发生于任何年龄,有家族聚集性或呈散发性。Divry 和 van Bogaert 是最早关注成人此类病症的,在成人中脑膜脑血管瘤病似乎与嗜苏丹性脑白质营养不良合并存在。然而,随后认为后者是由于白质缺氧损伤所致。在其他观察中,灰质的严重损伤更明显是缺氧性起源。本文报道并讨论了对两名新生儿的观察结果,这是弥漫性脑膜脑血管瘤病的散发病例,且灰质和白质有严重坏死性改变。总结了关于各种年龄相关形式的已发表报告,并提出了一个通用名称,将各种观察结果纳入一个总标题之下。还将在脑膜脑血管瘤病和福-阿二氏病之间作一比较。

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