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阿诺德-奇亚里畸形的发病机制:脑积水和导水管狭窄的意义。

Pathogenesis of the Arnold-Chiari malformation: the significance of hydrocephalus and aqueduct stenosis.

作者信息

Masters C L

出版信息

J Neuropathol Exp Neurol. 1978 Jan;37(1):56-74. doi: 10.1097/00005072-197801000-00005.

DOI:10.1097/00005072-197801000-00005
PMID:619008
Abstract

In 24 cases of spina bifida, correlations were made comparing the degree of hydrocephalus with the cross-sectional area of the supratentorial compartment, posterior fossa, hindbrain prolapse, size of myelocele, and degree of fibrovascular reaction at the base of the brain. The size and postion of the aqueduct and fourth ventricle were compared with the degree of hydrocephalus. The results demonstrate that the aqueduct stenosis is usually due to external compression of the mesencephalon. The results also suggest that the size of the posterior fossa and hindbrain prolapse are secondary to hydrocephalus. It is postulated that the hydrocephalic process may be initiated by fibrovascular occlusion of the basal subarachnoid space.

摘要

在24例脊柱裂病例中,对脑积水程度与幕上腔室、后颅窝的横截面积、后脑膨出、脊髓脊膜膨出大小以及脑底部纤维血管反应程度进行了相关性比较。将导水管和第四脑室的大小及位置与脑积水程度进行了比较。结果表明,导水管狭窄通常是由于中脑受到外部压迫所致。结果还提示,后颅窝大小和后脑膨出是脑积水的继发性表现。据推测,脑积水过程可能由基底蛛网膜下腔的纤维血管闭塞引发。

相似文献

1
Pathogenesis of the Arnold-Chiari malformation: the significance of hydrocephalus and aqueduct stenosis.阿诺德-奇亚里畸形的发病机制:脑积水和导水管狭窄的意义。
J Neuropathol Exp Neurol. 1978 Jan;37(1):56-74. doi: 10.1097/00005072-197801000-00005.
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引用本文的文献

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Valvular factors in hydrocephalus.脑积水的瓣膜因素。
Childs Nerv Syst. 1994 Jan;10(1):36-42. doi: 10.1007/BF00313583.
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Pathogenesis of cerebellar deformity in experimental Chiari type I malformation caused by mumps virus.
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Acta Neuropathol. 1994;87(2):168-73. doi: 10.1007/BF00296187.
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The amniotic band syndrome as a cause of anencephaly. Report of a case.羊膜带综合征作为无脑儿的一个病因。病例报告。
Acta Neuropathol. 1985;67(3-4):190-4. doi: 10.1007/BF00687800.
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Communicating hydrocephalus in rodents treated with beta,beta'-iminodipropionitrile (IDPN).用β,β'-亚氨基二丙腈(IDPN)处理的啮齿动物中的交通性脑积水
Acta Neuropathol. 1985;65(3-4):209-16. doi: 10.1007/BF00687000.
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Magnetic resonance imaging of the cerebral aqueduct.
Neuroradiology. 1987;29(5):430-6. doi: 10.1007/BF00341738.
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Brainstem auditory evoked potential abnormalities in myelomeningocoele in the older child.大龄儿童脊髓脊膜膨出患者的脑干听觉诱发电位异常
J Neurol Neurosurg Psychiatry. 1987 Oct;50(10):1318-22. doi: 10.1136/jnnp.50.10.1318.
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Cranial sonographic evaluation in children with meningomyelocele.
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