首都医科大学学报 ›› 1985, Vol. 6 ›› Issue (1): 39-43,35.

• 论著 • 上一篇    下一篇

小脑型遗传性共济失调16例报告(附CT扫描分析)

龙洁, 朱镛连   

  1. 北京天坛医院神经内科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1985-01-15 发布日期:1985-01-15

Report of 16 Cases of Cerebellar Hereditary Ataxia-CT Scanning Analysis

Long Jie   

  • Received:1900-01-01 Revised:1900-01-01 Online:1985-01-15 Published:1985-01-15

摘要:

我院近3年来共收治小脑型遗传性共济失调患者16例,全部进行了CT脑扫描诊断。除2例未见明显阳性改变外,余14例均显示出明显的小脑萎缩性变化。主要阳性改变有以下几方面: 1.小脑半球和/或蚓部脑沟增宽,在CT片上清晰可见。 2.第四脑室扩大。 3.小脑及脑干周围脑池扩大,如回叠体池、上蚓池、桥小脑脚池、桥池等均可扩大。 4.部分病例可合并大脑萎缩。 CT扫描为本病的诊断和鉴别提供了客观依据。

Abstract:

16 patients with hereditary cerebellar atrophy were admitted to our hospital in the past three years. Computed tomography scans were performed on all of the patients. The CT scans in 2 cases were within normal limits,and The other 14 cases all showed remarkable cerebellar atrophy. The main positive findings were as following:1. The sulci of the cerebellar hemispheres and/or the vermis widened and could be seen clearly.2. The fourth ventricle was enlarged.3. The cisterns around, the cerebellum and brain stem such as the quadrigeminal, superior cerebella, cerebellopontine angle and the prepontine cisterns were enlarged.4 In some cases the cerebral atrophy could be demonstrated. Thus, CT scan can provide the objective evidence for the diagnosis and differential diagnosis of the disease.