Mizuno S, Goto H, Hoshi H, Yamada N, Kato Z, Takahashi Y, Shimozawa N, Kondo N
Department of Radiology, Gifu University School of Medicine.
Kaku Igaku. 1998 Mar;35(3):141-6.
We reported two cases of two-year-old girls with hypoxic ischemic encephalopathy. Their symptom was coma induced by seizures with respective factors. CT image on subacute stage showed the decreased density of the whole brain except for the primary sensorimotor cortex and the occipital lobe. MRI and CT images on chronic stage revealed generalized atrophy with no abnormal density areas. 99mTc-ECD SPECT on chronic stage showed low perfusion in the whole brain except for the primary sensorimotor cortex and the occipital lobe, in which areas brain tissue is considered to be injured easily in hypoxic ischemic encephalopathy. The paradoxical distribution of abnormal cerebral perfusion areas in our cases was reported in this paper.
我们报告了两例两岁患缺氧缺血性脑病的女童。她们的症状是因各自不同因素引发癫痫而导致昏迷。亚急性期的CT图像显示，除初级感觉运动皮层和枕叶外，全脑密度降低。慢性期的MRI和CT图像显示广泛性萎缩，无异常密度区域。慢性期的99mTc-ECD SPECT显示，除初级感觉运动皮层和枕叶外，全脑灌注降低，在缺氧缺血性脑病中这些区域的脑组织被认为易受损伤。本文报道了我们病例中异常脑灌注区域的这种矛盾分布情况。
