Raybaud C, Bamberger-Bozo C, Laffont J, Choux M, Rougerie J, Paliza J, Salamon G
Neuroradiology. 1978;16:24-5. doi: 10.1007/BF00395193.
An analysis was made of 175 cases of pediatric nontumoral hydrocephalus. CT scan by itself permits a precise diagnosis in only one-third of the cases. However, when the clinical context suggests that hydrocephalus is secondary to certain conditions such as infection, bleeding, or trauma, CT scan may suffice, unless more advanced investigation permits more efficient treatment. When hydrocephalus is associated with brain malformations, however, more complete investigation is needed for a better understanding of the condition. Conventional contrast studies are quite safe, especially ventriculography which is easy to perform in this type of patient, who is usually investigated during the first 12 months of life.
对175例小儿非肿瘤性脑积水病例进行了分析。仅靠CT扫描仅能在三分之一的病例中做出准确诊断。然而,当临床情况提示脑积水继发于某些疾病,如感染、出血或创伤时,除非更先进的检查能实现更有效的治疗,否则CT扫描可能就足够了。然而,当脑积水与脑畸形相关时,则需要更全面的检查以更好地了解病情。传统的造影检查相当安全,尤其是脑室造影,在这类通常在出生后12个月内接受检查的患者中很容易进行。