外伤性弥漫性脑萎缩的临床特征Clinical Features of Post-traumatic Diffuse Cerebral Atrophy
刘建全,阿许库,史勇,巴哈德
摘要(Abstract):
目的:探讨外伤性弥漫性脑萎缩的临床特征及其形成机制。方法:外伤性弥漫性脑萎缩患者26例,其中硬膜下血肿19例,广泛脑挫裂伤4例,弥漫性轴索损伤(DAI)3例,合并有蛛网膜下腔出血(SAH)17例,于入院时、伤后3d、1周、3周及1月余行头颅CT检查。结果:本文26例患者在CT复查中均表现为双侧大脑半球不同程度的脑室、脑池、脑沟扩大增宽,脑回变窄,其两侧脑室额角间夹角≥140°,尾状核指数为16.8%-32.1%,(平均24.2%)。结论:本文外伤性弥漫性脑萎缩的主要病因,可能与弥漫性神经元和轴突的原发损伤以及外伤后脑缺血性损害有关。
关键词(KeyWords): 外伤性弥漫性脑萎缩;临床特征;脑外伤
基金项目(Foundation):
作者(Author): 刘建全,阿许库,史勇,巴哈德
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