Maria G, Ferriero G, Migliozzi S, Cantone G, Lombardi E
Divisione per le malattie del Sistema Nervoso, USL N. 15 Multizonale, Caserta.
Clin Ter. 1993 Dec;143(6):499-506.
The authors explore the correlation between the neuroradiologic and clinical patterns of "subcortical arteriosclerotic encephalopathy" (SAE) or Binswanger's disease. The typical neuroradiologic pattern has been found in 62 of the 1804 CT scans of the department's archive. Available patients were enrolled for neuropsychologic evaluation. The authors point out that there is no correlation whatever between severity of the CT pattern and findings of psychological decline. Therefore SAE may be considered merely a neuroradiologic pattern. The discrepancy between neuroradiologic and clinical pattern depends on the individual history of every single patient as well as on the quality of the neuronal cells involved in vascular pathology. It may in fact be thought that the injury to command neurones plays a fundamental role in bringing about the psychopathologic picture.
作者探讨了“皮质下动脉硬化性脑病”（SAE）或宾斯旺格病的神经放射学与临床模式之间的相关性。在该科室档案的1804例CT扫描中，有62例发现了典型的神经放射学模式。对可纳入研究的患者进行了神经心理学评估。作者指出，CT模式的严重程度与心理衰退的表现之间不存在任何相关性。因此，SAE可能仅被视为一种神经放射学模式。神经放射学与临床模式之间的差异取决于每个患者的个体病史以及血管病变中所涉及神经元细胞的质量。实际上，可以认为对指挥神经元的损伤在导致精神病理表现方面起着根本性作用。
