儿童自发性脑出血的临床与影像学特征

为了探讨儿童自发性脑出血的临床与影像学特征，对２６例患儿的临床资料进行分析。结果显示，脑血管畸形是本病的主要病因占６５．４％。ＣＴ扫描诊断本病实用而可靠。病变大多位于幕上占８８．５％，其中以脑叶为主占６９．２％。ＤＳＡ检出脑血管畸形１４例，烟雾病１例，术后发现隐匿性血管畸形（ＡＯＶＭ）３例，脑血管畸形的再出血率为２３．５％，提示ＣＴ和ＤＳＡ对本病的诊断和治疗起重要作用。对脑血管畸形主张开展积极手术

Clinical and Imaging Features of Spontaneous Cerebral Hemorrhage in Children

To explore the clinical and imaging characteristics of spontaneous cerebral hemorrhage in children, twenty-six children suffering from the disease were analysed. The results showal that cerebrovascular malformtions were the major cause of spontaneous cerebral hemorrhage in children(65 .4% ). CT scanning was an effective approach in the diagnosis of the disease. Most hemorrhage focuses located in supratentorial region, which accounted for 88. 5 %. Lobar hemorrhage was prevalent(69. 2% ). Fourteen cases of cerebrovascular malformations and one case of Moyamoya disease were diagnosed by DSA. Three cases of AOVM (angiographically occult cerebral vascular malformation) were found after operation. The recurrent hemorrhage rate of cerebrovascular malformation was 23. 5 %. The results suggested that CT and DSA could play an important role in the diagnosis and treatment of the disease. In order to avoid recurrent hemorrhage,operation should be performed actively.