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脑室引流脑积水患者胼胝体病变的CT研究

Lesions of the corpus callosum in hydrocephalic patients with ventricular drainage--a CT-study.

作者信息

Spreer J, Ernestus R I, Lanfermann H, Lackner K

机构信息

Department of Diagnostic Radiology, University of Cologne, Federal Republic of Germany.

出版信息

Acta Neurochir (Wien). 1996;138(2):174-8. doi: 10.1007/BF01411357.

Abstract

Patients with ventricular drainage may develop lesions of the corpus callosum. In order to study frequency, pathogenesis and clinical relevance of callosal lesions, 301 routine CT investigations of 79 patients with ventricular drainage were reviewed. Hypodense lesions in the anterior part of the corpus callosum were observed in 7 patients with longstanding hydrocephalus of variable origin, in 2 cases the corpus callosum was slightly swollen. All 7 patients showed signs of forced ventricular drainage. The callosal alterations were clinically inapparent and potentially reversible. Knowledge of these lesions is important to avoid misinterpretation.

摘要

脑室引流患者可能会出现胼胝体病变。为了研究胼胝体病变的发生率、发病机制及临床相关性,我们回顾了79例脑室引流患者的301例常规CT检查结果。在7例病因各异的长期脑积水患者中观察到胼胝体前部低密度病变,2例胼胝体轻度肿胀。所有7例患者均有强制性脑室引流迹象。胼胝体改变在临床上不明显且可能可逆。了解这些病变对于避免误诊很重要。

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