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目的:探讨脑白质稀疏症临床及CT特点,以提高对脑白质稀疏症的诊断水平。材料与方法:260例,男性165例,女性95例,年龄50~95岁,平均76岁。临床症状均有头晕、恶心及偏瘫、肢麻、失语、认识障碍或痴呆等神经症状,结合CT特点对照分析。结果:本病好发于50岁以上,并与年龄成正比,临床上常伴高血压、冠心病、动脉硬化、糖尿病等危险因素;渐进性痴呆和智力减退是常见表现;多伴发急性或亚急性卒中,出现感觉、语言及运动障碍。CT特征表现为双侧脑白质对称性低密度灶,或并发脑梗塞、脑出血及脑萎缩。结论:熟悉本病的临床和CT特点,对提高本病的CT诊断正确率有重要价值。
Objective: To investigate the clinical and CT features of leukopenia to improve the diagnosis of leukoencephalopathy. Materials and Methods: 260 cases, 165 males and 95 females, aged 50 to 95 years, mean 76 years. Clinical symptoms were dizziness, nausea and hemiplegia, limbs, aphasia, cognitive impairment or dementia and other neurological symptoms, combined with CT characteristics of controlled analysis. Results: The disease occurred in more than 50 years of age and is proportional to age, often clinically associated with hypertension, coronary heart disease, atherosclerosis, diabetes and other risk factors; progressive dementia and mental retardation are common manifestations; often accompanied by acute or Subacute stroke, sensation, language and movement disorders. CT features of bilateral white matter symmetry of low density lesions, or complicated by cerebral infarction, cerebral hemorrhage and brain atrophy. Conclusion: Familiar with the clinical and CT features of the disease, to improve the accuracy of the diagnosis of CT has an important value.