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酒精中毒性小脑变性(附38例报告)
引用本文:孙昌兰,史庭慧,刘贤富,王承缘. 酒精中毒性小脑变性(附38例报告)[J]. 华中科技大学学报(医学版), 1994, 0(1)
作者姓名:孙昌兰  史庭慧  刘贤富  王承缘
作者单位:同济医科大学附属同济医院神经科!武汉430030(孙昌兰,史庭慧),同济医科大学附属同济医院放射科!武汉430030(刘贤富,王承缘)
摘    要:
报告38例酒精中毒性小脑变性,占同期小脑变性疾病的21%,均有长期饮酒史,主要表现为躯干及下肢共济失调。伴发周围神经病7例,陪拉格病3例。脑CT显示36例有小脑萎缩,以小脑蚓部萎缩为主,25例有大脑萎缩。其诊断根据长期饮酒史、小脑受损的表现及脑CT有小脑萎缩的改变。主要应与遗传性小脑型共济失调相鉴别。

关 键 词:酒精中毒  小脑变性  小脑共济失调  断层摄影术  X线计算机

Alcoholic Cerebellar Degeneration:A 38 Case Report
Sun Changlan,Shi Tinghui,Liu Xianfu,et al. Alcoholic Cerebellar Degeneration:A 38 Case Report[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 1994, 0(1)
Authors:Sun Changlan  Shi Tinghui  Liu Xianfu  et al
Affiliation:Sun Changlan,Shi Tinghui,Liu Xianfu,et alDepartment of Neurology and Radiology,Depqrtment of Radiology,Tongji Hospital,Tongji Medical University,Wuhan 430030
Abstract:
Presented in this paper is a report of 38 cases of alcoholic cerebellar degenera tion (ACD),which accounted for 21% of patients with cerebellar degeneration diagnosed in the corresponding period.All of them have admitted to a long-term use of alcohol.And their main clinic features included the ataxia in trunk and lower limbs, accompanied by peripheral neuropathies in 7 cases and Pellagra disease in 3 cases.The cramal CT showed cerebellar at rophy in 36 cases,predominantly in the worm of cerebellum,and cerebral atrophy in 25 cas es.The criteria of diagnosis consisted of long-term use of alcohol,the features of the dam aged cerebellum and cerebellar atrophy in cramal CT.It should be considered to distinguish ACD from hereditary cerebellar ataxia.
Keywords:alcoholism  cerebellar degeneration  cerebellar ataxia  X-ray computed to mography
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