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脑结节性硬化的CT特征
引用本文:朱正兵,俞志坚,张宝和,曹惠霞. 脑结节性硬化的CT特征[J]. 中华神经医学杂志, 2003, 2(5): 376-377,379
作者姓名:朱正兵  俞志坚  张宝和  曹惠霞
作者单位:1. 第一军医大学珠江医院放射科,广东,广州,510282
2. 海军总医院神经内科,北京,100037
3. 广州军区总医院,广东,广州,510010
摘    要:目的 分析脑结节性硬化症的CT影像表现,进一步认识其影像特征。方法 对19例脑结节性硬化患者的CT影像表现进行分析。结果 (1)皮层和皮层下病灶:CT显示病灶58个,面包圈样改变病灶23个,局部小片状高密度7个病灶,等密度伴有钙化点病灶28个。(2)脑白质病灶:CT发现6个病灶有钙化点,提示该处有病灶。(3)室管膜下病灶:CT发现钙化结节127个。其中2例合并巨细胞星形细胞瘤,CT表现为高、等、低混杂密度。结论 CT不仅可以显示室管膜下钙化结节.也可以较好地显示出皮层及皮层下结节。

关 键 词:脑结节性硬化 CT特征 常染色体显性遗传病 影像学检查 瘤体钙化
文章编号:1671-8925(2003)05-376-02

The CT character of brain tuberous sclerosis
ZHU Zhengbing,YU Zhijian,ZHANG Baohe,CAO Huixia. The CT character of brain tuberous sclerosis[J]. Chinese Journal of Neuromedicine, 2003, 2(5): 376-377,379
Authors:ZHU Zhengbing  YU Zhijian  ZHANG Baohe  CAO Huixia
Affiliation:ZHU Zhengbing,YU Zhijian,ZHANG Baohe,CAO HuixiaDepartment of Radiology,Zhujiang Hospital,First Military Medical University,Guangzhou 510282,China, Department of Neurology,Navy General Hospital of PLA,Beijing 100037,China, Department of Radiology,Guangzhou General Hospital of PLA,Guangzhou 510010,China
Abstract:Objective To improve our knowledge by analyzing the findings of CT imaging of tuberous sclerosis. Methods 19 patients with tuberous sclerosis examined with CT were analyzed for findings of CT imaging. Results (1)Cortical and subcortical lesions: 58 tubers were found on CT. Among them there were 23 lesions like bread cycle,7 slightly high density lesions and 28 iso-density lesions with calcified spots. (2)White matter lesions: 6 iso-density lesions with calcification were found on CT. (3) Subependymal lesions:127 calcified nodules were found on CT. 2 of 19 patients were accompanied with subependymal giant cell astrocytomas showing hyper-, iso-or hypo-mixed density on CT. Conclusion CT can show not only subependymal calcified lesions but also cortical and subcortical lesions.
Keywords:tuberous sclerosis  CT  calcification
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