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创伤后脑损伤的计算机断层扫描(作者译)

[Computerized tomography in post-traumatic cerebral lesions (author's transl)].

作者信息

Gardeur D, Allal R, Piedeliévre C, Metzger J

出版信息

J Radiol. 1979 Feb;60(2):79-86.

PMID:490467
Abstract

A review of 108 cases of cranial injury, dating back for more than three months, and having had computerized tomography examinations, revealed 96 abnormalities in the results. These included overall, 65 times, and localized, 20 times, ventricular dilatations, generalized atrophy 27 times, porencephaly 27 times, enlargement of the sylvian fossa 28 times, chronic subdural hematomas 8 times, intracranial calcification 3 times, meningiomas 3 times, and a cerebral abscess in 1 patient. The computerized tomography results were normal in 12 patients. Very good correlations were found between clinical and computerized tomography results in patients with psychic disturbances and disorders of the higher centers. They were variable in cases of epilepsy and neurological deficiency states. The greatest number of normal results was found in so-called subjective syndromes.

摘要

对108例颅脑损伤病例进行回顾,这些病例可追溯到三个多月前,并且都进行了计算机断层扫描检查,结果显示有96例异常。总体而言,这些异常包括脑室扩张65次、局限性脑室扩张20次、广泛性萎缩27次、脑穿通畸形27次、外侧裂池扩大28次、慢性硬膜下血肿8次、颅内钙化3次、脑膜瘤3次,还有1例脑脓肿。12例患者的计算机断层扫描结果正常。在有精神障碍和高级神经中枢功能障碍的患者中,临床结果与计算机断层扫描结果之间存在非常好的相关性。在癫痫和神经功能缺损状态的病例中,相关性则各不相同。在所谓的主观综合征中,正常结果的数量最多。

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