Lalande G, Diebler C, Grosvalet A, Ponsot G, Bennet J M
Sem Hop. 1983 Sep 8;59(31):2179-86.
Indications of CT examinations should be carefully established. Undisputed emergency indications in pediatric neurology are specified. Acute intracranial hypertension, whether isolated or associated with neurological signs or fever, is the principal emergency indication. Its main causes are posterior fossa tumors, but other space-occupying lesions may be found. The main radiological features in each etiology are described. Hemorrhage and trauma are the other essential emergency indications. Emergency CT examination can also be performed in unexplained coma. The indications of CT and ultrasonography in neonates are discussed.
CT检查的适应证应仔细确定。明确了儿科神经病学中无可争议的紧急适应证。急性颅内高压,无论单独出现还是伴有神经体征或发热,都是主要的紧急适应证。其主要原因是后颅窝肿瘤,但也可能发现其他占位性病变。描述了每种病因的主要影像学特征。出血和创伤是其他重要的紧急适应证。对于不明原因的昏迷也可进行急诊CT检查。还讨论了新生儿CT和超声检查的适应证。