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Sturge-Weber 综合征合并局灶性皮质发育不良 FCD IIIc 的临床病理分析。

Clinicopathological Analysis of Sturge-Weber Syndrome with Focal Cortical Dysplasia FCD IIIc.

机构信息

Department of Pathology, Shenzhen Children's Hospital, Shenzhen, Guangdong Province, China.

Department of Radiology, Shenzhen Children's Hospital, Shenzhen, Guangdong Province, China.

出版信息

Fetal Pediatr Pathol. 2023 Aug;42(4):545-556. doi: 10.1080/15513815.2023.2171749. Epub 2023 Feb 3.

Abstract

To investigate the clinicopathological features of children with Sturge-Weber syndrome and to analyze the correlation between the distribution area of leptomeningeal angiomatosis, the degree of cerebral cortical calcification, and the degree of cerebral atrophy associated with epileptic seizures. 10 children were diagnosed with SWS with FCD IIIc by histopathology and immunohistochemistry. Spearman correlation analysis was used to calculate the association of SWS with FCD IIIc and seizures in children. The leptomeningeal angiomatosis area was markedly positively correlated with the degree of brain atrophy in 10 children with SWS ( = 0.783,  = 0.007). The distribution of leptomeningeal hemangiomatosis, the degree of cortical calcification, and brain atrophy were not significantly correlated with epilepsy. SWS may be accompanied by FCD IIIc. The more extensive the cerebral lobes of leptomeningeal angiomatosis in SWS, the more pronounced the brain atrophy.

摘要

探讨 Sturge-Weber 综合征(SWS)患儿的临床病理特征,分析软脑膜血管畸形的分布范围、大脑皮质钙化程度和与癫痫发作相关的脑萎缩程度之间的相关性。10 例患儿经组织病理学和免疫组织化学检查诊断为 SWS 伴 FCD IIIc。采用 Spearman 相关分析计算 SWS 与儿童 FCD IIIc 和癫痫发作的相关性。SWS 患儿软脑膜血管畸形面积与脑萎缩程度显著正相关(r=0.783,P=0.007)。软脑膜血管畸形的分布、皮质钙化程度和脑萎缩与癫痫无明显相关性。SWS 可能伴有 FCD IIIc。SWS 中软脑膜血管畸形的脑叶分布越广泛,脑萎缩越明显。

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