| 脑性瘫痪患儿脑电图与头颅磁共振对比研究 |
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| 引用本文： | 王立苹,李晓捷,吕智海.脑性瘫痪患儿脑电图与头颅磁共振对比研究[J].中国伤残医学,2010,18(3). |
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| 作者姓名： | 王立苹 李晓捷 吕智海 |
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| 作者单位： | 佳木斯大学康复医学院-佳木斯大学儿童神经康复实验室,黑龙江,佳木斯,154003 |
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| 摘 要： | 目的:通过对比脑电图(EEG)和头颅核磁共振(MRI)的变化,分析2种检查方法在脑性瘫痪中的应用,探讨EEG和MRI检查与脑性瘫痪患儿中枢神经系统发育特点之间的关系。方法:103例脑性瘫痪患儿在康复治疗前后各做1次EEG与头颅MRI,分析其改变及相关性。结果:103例脑性瘫痪患儿EEG异常率为74.8%,异常表现以广泛性慢波异常为主。MRI异常率为86.41%,异常MRI表现有皮质-皮质下梗死32例(31.1%)。脑白质髓鞘形成延迟22例(21.4%),脑室旁白质软化(PVL)24例(23.3%),白质多发性脑病4例(3.9%),先天发育畸形7例(6.8%)。康复治疗前后脑电图变化有显著性差异(P=0.012),MRI无明显变化。MRI表现为皮质-皮质下梗死的脑性瘫痪患者脑电图异常表现以广泛性慢波异常为主,占62.5%,康复治疗前后脑电图变化有显著性差异。结论:EEG和MRI作为脑性瘫痪的辅助检查,各具意义:EEG可以更明显地表现出脑瘫患儿的中枢神经系统发育变化,MRI对于脑性瘫痪脑损伤定位意义更大。
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| 关 键 词： | 脑性瘫痪 EEG MRI |
Comparative Study of EEG and MRI of Children with Cerebral Palsy |
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| WANG Li-ping,LI Xiao-jie,LU Zhi-hai.Comparative Study of EEG and MRI of Children with Cerebral Palsy[J].Chinese JOurnal of Trauma and Disability Medicine,2010,18(3). |
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| Authors: | WANG Li-ping LI Xiao-jie LU Zhi-hai |
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| Institution: | WANG Li-ping,LI Xiao-jie,LU Zhi-hai(Children Neural Rehabilitation Laboratory of Jiamusi University,Rehabilitation Medicine College of Jiamusi University,Jiamusi,Heilongjiang Province,154002) |
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| Abstract: | Objective:By comparing changes of EEG and MRI,to analyze the application between two inspection methods in children with cerebral palsy and the relationship with developmental characteristics of children with cerebral palsy.Methods:103 cases of children with cerebral palsy before and after rehabilitation treatment were tested by EEG and MRI,to analyze the changes and correlation.Results:Abnormal rate of EEG was 74.8% in 103 cases of children with cerebral palsy,the most abnormalities was extensive slow-wave... |
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| Keywords: | EEG MRI |
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