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[脑计算机断层扫描中脑室扩大和皮质萎缩的临床意义(作者译)]

[The clinical significance of ventricular enlargement and cortical atrophy in computed tomography of the brain (author's transl)].

作者信息

Busse O, Agnoli A L, Lippmann R, Schütz H J

出版信息

Radiologe. 1981 Feb;21(2):91-7.

PMID:7208906
Abstract

The diagnosis of atrophy of the brain based on the visual interpretation of CT findings appears questionable. In 56 patients there was no correlation between the CT findings of enlarged ventricles and sulci and clinical findings of psychoorganic syndromes. Only the group of 60 to 80 year old patients showed a statistically significant correlation between psychoorganic findings and the area of the lateral ventricles - measured planimetrically - and the diameter of the cella medica, but not the group of the 40 to 60 year old. There was no relationship between the number of cortical sulci and psychopathology. The morphological findings of ventricular enlargement and cortical atrophy in CT - even with exact measurements - do not allow any conclusions in regard to psychoorganic findings.

摘要

基于CT检查结果的视觉判读来诊断脑萎缩似乎存在疑问。在56例患者中,脑室和脑沟增宽的CT检查结果与精神器质性综合征的临床检查结果之间没有相关性。只有60至80岁的患者组显示,精神器质性检查结果与通过平面测量法测得的侧脑室面积以及蝶鞍直径之间存在统计学上的显著相关性,而40至60岁的患者组则不存在这种相关性。皮质脑沟数量与精神病理学之间没有关系。CT检查中脑室扩大和皮质萎缩的形态学结果——即使是精确测量——也无法得出关于精神器质性检查结果的任何结论。

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