儿童结节性硬化症的临床与影像特点（附13例病例分析）

目的探讨儿童结节性硬化症的临床表现与影像特点。方法回顾性分析经临床、CT共同确诊的13例结节性硬化症患儿的临床与影像资料。13例均行颅脑CT平扫,CT增强5例。结果 13例患者多以癫痫、智力低下就诊。CT表现为双侧侧脑室室管膜下多发高密度钙化结节11例,单发结节2例,1例并有室管膜下巨细胞星形细胞瘤。结论 CT对儿童结节性硬化症的诊断具有重要价值,结合患儿的临床表现和影像学特征可对儿童结节性硬化症作出正确诊断。

Characteristics of Clinic and Imaging of Tuberous Sclerosis in Children

Objective To explore clinical manifestations and CT features of children tuberous sclerosis. Methods Analyze retrospectively 13 cases with children tuberous sclerosis diagnosed by clinic and CT. 13 cases underwent CT plain scan of head. 5 cases underwent enhanced head CT. Results 13 patients visit doctors mostly for their epilepsy and mental retardation. On CT scan 11 cases had multiple subependymal high-density calcified nodules and 2 cases showed single nodule under ependyma of lateral ventricle,while 1 case com-plicated with subependymal giant cell astrocytoma. Conclusion CT play an important role in the diagnosis of children tuberous sclerosis. Children tuberous sclerosis is diagnosed correctly by combining their clinical mani-festations with CT features.