无热惊厥与婴幼儿额叶脑回发育迟缓的CT随访

目的讨论婴幼儿早期无热惊厥与额叶脑回发育落后的CT表现。方法对临床150例无热惊厥患儿出院后随访,选择有完整追踪资料的69例经头颅CT检查诊断为额叶脑回发育迟缓患儿,定期评价至3岁龄。结果额叶发育迟缓及惊厥发作人次均以6-9个月两个年龄组最多,1-3岁3个年龄组随着脑回的发育,惊厥随之减少;所有病例头围与正常同龄儿比较均在正常低限;各种病因导致的脑额叶发育迟缓的恢复时间有区别,低体重儿恢复快,而肠道感染合并中毒性脑病恢复较慢。结论CT可早期直观提示婴儿、幼儿早期额叶脑回发育迟缓情况,为临床早期确诊婴幼儿良性惊厥提供新的诊断信息。

CT following up for unfebril convusions and infantile frontal lobe gyrus stunt

Purpose the features of infantile unfebril convusions and frontal lobe gyrus stunt were performed with CT scanning. Methods 150 cases of unfebril convusion infants were followed up after they left hospital, in which 69 cases with complete pursual data were selected, and diagnosed as frontal lobe gyrus stunt after CT scanning. They were appraised regularly until 3 years old. Results The number of convusion and frontal parietal lobe stunt infants was the largest at the age of 6 and 9 months. With the growing of gyrus, the outbreak person-times of convusions decreased in the age group of one, two and three years. The circumferences of the head of all cases were at the normal level but lower than normal children of the same age.The convalescences of frontal lobe stunt led by diversified pathogeny were different. Low weight infants recovered more quickly than those with intestine-infection and poisoned encephalopathy. Conclusion CT scanning can point out directly frontal lobe gyrus stunt at the early stage of infants and provide accurate information for clinical diagnose.