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[儿童缺血性脑血管意外。神经放射学诊断问题]

[Ischemic cerebrovascular accidents in childhood. Problems of neuroradiological diagnosis].

作者信息

Carollo C, Rigobello L, Marin G, Salar G, Scanarini M, Battistella P A, Drigo P, Laverda A M

出版信息

Radiol Med. 1984 Jul-Aug;70(7-8):512-5.

PMID:6535169
Abstract

The authors present 19 cases of stroke with subsequent hemiplegia in children from 5 months to 15 years of age. These cases are not strictly correlated with haematologic alterations. The aetiopathogenesis remains uncertain in the most of patients, in which predisposing causes are absent and angiographic pictures do not demonstrate anatomical lesions or occlusions of cerebral vessels. In our series, cerebral angiography was performed in 16 children and showed vascular alterations only in 6 cases. CT scan some time after the acute hemiplegia, demonstrated low-density areas in 12 cases over 17 examined, with the characteristic evolution of ischemic lesions.

摘要

作者报告了19例5个月至15岁儿童中风后继发偏瘫的病例。这些病例与血液学改变并无严格关联。大多数患者的病因发病机制仍不明确,其中不存在诱发因素,血管造影图像也未显示脑血管的解剖病变或闭塞。在我们的系列研究中,16名儿童进行了脑血管造影,仅6例显示有血管改变。急性偏瘫一段时间后进行的CT扫描显示,在17例接受检查的病例中有12例出现低密度区,具有缺血性病变的典型演变过程。

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