Leonovich A L, Kuznetsov V F
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(2):182-5.
Pneumoencephalography was performed in 35 patients with a significant diagnosis of disseminated sclerosis. Enlargement of the III ventricle was revealed in 21 patients (60%), dropsy of lateral ventricles in 16 (45,6%) and that of the IV ventricle in 13 (37,2%), atrophy of brain stem in 9 (25,4%), block of the subarachnoidal space in 11 patients (31,4%). The most pronounced brain changes were seen in patients with a cerebellar form of disseminated sclerosis and in those having severe motor disturbances, ataxia and tremor. The degree of hydrocephalus did not depend on the disease duration. A possible pathogenetic role of dropsy in disseminated sclerosis is discussed. Hydrocephalus may be considered as an additional clinicoroentgenological feature of disseminated sclerosis.
对35例确诊为播散性硬化症的患者进行了气脑造影检查。结果显示,21例患者(60%)第三脑室扩大,16例(45.6%)侧脑室积水,13例(37.2%)第四脑室积水,9例(25.4%)脑干萎缩,11例患者(31.4%)蛛网膜下腔梗阻。在小脑型播散性硬化症患者以及伴有严重运动障碍、共济失调和震颤的患者中,脑部变化最为明显。脑积水的程度与病程无关。文中讨论了积水在播散性硬化症中可能的发病机制作用。脑积水可被视为播散性硬化症的一项额外临床放射学特征。