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婴儿脑型脚气病的临床与CT表现
引用本文:刘斌 孙中武. 婴儿脑型脚气病的临床与CT表现[J]. 影像诊断与介入放射学, 1997, 6(2): 70-72
作者姓名:刘斌 孙中武
作者单位:安徽医科大学第一附属医院CT室 230022(刘斌,孙中武,奚美芳),安徽医科大学第一附属医院CT室 230022(王孟鼎)
摘    要:为探讨婴儿脚气病脑的CT特征和提高临床诊断水平,作者回顾分析了7例婴儿脑型脚气病的临床和CT资料。临床上主要以抽搐、精神萎靡、目光呆滞和呕吐等症状发病。脑CT显示:双侧豆状棱(5/7)、尾状棱头部(4/7)、丘脑(2/7)及齿状核(1/7)对称性低密度区和与年龄不相符的脑萎缩。维生素B_1治疗后,临床症状体征明显改善,于入院后2~5天痊愈出院。我们认为双侧豆状核、尾状核头部、丘脑及齿状校对称性低密度病变是婴儿脚气病性脑病的一种重要的CT征象。

关 键 词:脚气病    断层摄影术  X线计算机

Clinical and CT Appearances of Infantile Cerebral Beriberi (Analysis of 7 cases)
Liu Bin,Sun Zhong Wu,Xi Mei Fang,et al.. Clinical and CT Appearances of Infantile Cerebral Beriberi (Analysis of 7 cases)[J]. Journal of Diagnostic Imaging & Interventional Radiology, 1997, 6(2): 70-72
Authors:Liu Bin  Sun Zhong Wu  Xi Mei Fang  et al.
Affiliation:Liu Bin,Sun Zhong Wu,Xi Mei Fang,et al. CT Division,The First AfGliated Hospital,Anhui Medical University,Anhui Province,Hefei 230022
Abstract:To study the CT features of infantile cerebral beriberi and improve clinical diag-nositic level, the clinical manifestations and CT findings of 7 cases of infantile cerebral beriberi were retrospectively reviewed. The main clinical signs was a spasm, dispirited, dull and emesis etc. CT scans showed bilateral symmetrical hypodensity foci in lenticular (5/7), head of caudate nucleus (4/7) ,thalamus (2/7) and dentate nucleus (1/7). In many cases, the cerebral atrophy was not consonant with age. The patients of 7 cases received thiamine treatment and were fully recovered. It was concluded that bilateral symmetric hypodensity in lenticular, thalmus, head of caudate nucleus and dentate nucleus was an important CT sign of infantile beriberi. (Fig 1-2 see inset P16)
Keywords:Beriberi Brain Tomography   X-ray computed
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