Tal'vik T A, Tomberg T A, Tolpats V A, Liuius S R, Toomela A V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1987;87(3):359-65.
Clinical examination and computerized tomography of 29 children with hemiparesis of different origin and severity (23 with a hemiparetic form of infantile cerebral paralysis and 6 with acquired hemiparesis) revealed in 69 per cent of the patients pathomorphological changes in the brain whose markedness correlated with the severity of the clinical status. The most frequent finding was dilatation of the ventricular system of the brain which was asymmetrical in most cases. Along with the atrophic process some patients presented focal or diffuse changes in the density of the cerebral matter depending on the nature of the primary damaging factors (zones of decreased density, porencephaly, calcification). Specification by computerized tomography of the structure and size of the pathomorphologic alterations in the brain allows evaluation of the clinical prognosis.
对29名不同病因和严重程度的偏瘫儿童（23名患有偏瘫型小儿脑瘫，6名患有后天性偏瘫）进行临床检查和计算机断层扫描后发现，69%的患者脑部存在病理形态学改变，其明显程度与临床状况的严重程度相关。最常见的发现是脑室内系统扩张，大多数情况下不对称。除萎缩过程外，一些患者根据原发性损伤因素的性质，脑实质密度出现局灶性或弥漫性改变（密度降低区、脑穿通畸形、钙化）。通过计算机断层扫描明确脑部病理形态学改变的结构和大小，有助于评估临床预后。
