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[不明原因高血压综合征的诊断(根据放射性核素脑池造影结果)]

[Diagnosis of hypertensive syndromes of unclear origin (according to the results of radionuclide cisternography)].

作者信息

Shcherbakova E Ia, Rakier A Ia, Kotel'nikova T M, Soboleva O I

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1985 Sep-Oct(5):25-30.

PMID:3907224
Abstract

Analysis of the findings of radionuclide cisternography in 34 patients with a hypertension syndrome of unclear genesis allowed 3 variants of an aggregate of radiological signs to be distinguished. The 1st and 2nd variants indicate diminution of the drainage function of the cerebral submeningeal space, which does not exclude the presence of a pathological process, one of tumorous genesis among others. The third variant which reveals open internal hydrocephalus (ventricular hydrocephalus) with diminished drainage activity of the submeningeal space of the brain excludes the existence of a three-dimensional pathological process, that of tumorous origin also. In hypertension syndrome of unclear genesis disturbed circulation of cerebrospinal fluid was always attended by its impaired resorption; not only a diminished reaction (function) but an accelerated reaction of drainage of the cerebrospinal fluid from its passages may occur when the maintaining drainage function of the submeningeal space of the spinal cord is manifested.

摘要

对34例病因不明的高血压综合征患者进行放射性核素脑池造影检查结果分析,可区分出3种放射学征象组合类型。第1种和第2种类型表明脑蛛网膜下腔引流功能减弱,这并不排除存在病理过程,其中包括肿瘤性起源的病理过程。第3种类型显示存在开放性内部脑积水(脑室脑积水),同时脑蛛网膜下腔引流活动减弱,这排除了存在三维病理过程的可能性,包括肿瘤起源的病理过程。在病因不明的高血压综合征中,脑脊液循环紊乱总是伴随着其吸收功能受损;当脊髓蛛网膜下腔的维持引流功能表现出来时,不仅脑脊液引流反应(功能)减弱,而且其从通道排出的反应可能会加速。

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