Chou Y H, Wang P J, Lin M Y, Shen Y Z, Lee C Y
Department of Pediatrics, National Taiwan University Hospital, Taipei, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1994 Jan-Feb;35(1):45-56.
From 1982 to 1991, there were 57 patients diagnosed with various intracranial disorders manifested initially with acute hemiplegia at the Department of Pediatrics, National Taiwan University Hospital. There were 33 boys and 24 girls, aged 12 days to 18 years old. In etiological consideration, cerebrovascular disease (66.7%), intracranial tumors (12.3%) and head trauma (10.5%) accounted for most of the cases. Besides acute hemiplegia, cranial nerve palsy (47.4%), disturbed consciousness (42.1%), headache (42.1%), vomiting (31.6%), focal seizure (21.1%) and fever (21.1%) were also common manifestations. Neuroimage studies of CT/MRI scan and angiography were the most useful diagnostic tools. Treatment modalities included medical treatment in 25 patients and surgical intervention in 16 patients and supportive treatment in the others. There were 12 fatal cases, half of whom died directly of intracranial pathology. The survivors exhibited various neurological deficits, in which motor deficits, mental retardation, and subsequent seizures were the three most common sequelae.
1982年至1991年期间，国立台湾大学医院儿科有57例最初表现为急性偏瘫的各种颅内疾病患者。其中男孩33例，女孩24例，年龄从12天至18岁。病因方面，脑血管疾病（66.7%）、颅内肿瘤（12.3%）和头部外伤（10.5%）占大多数病例。除急性偏瘫外，脑神经麻痹（47.4%）、意识障碍（42.1%）、头痛（42.1%）、呕吐（31.6%）、局灶性癫痫发作（21.1%）和发热（21.1%）也是常见表现。CT/MRI扫描和血管造影等神经影像学检查是最有用的诊断工具。治疗方式包括25例患者接受药物治疗，16例患者接受手术干预，其余患者接受支持治疗。有12例死亡病例，其中一半直接死于颅内病变。幸存者表现出各种神经功能缺损，其中运动功能缺损、智力障碍和随后的癫痫发作是三种最常见的后遗症。
