多梗塞性痴呆的CT与临床探讨

被引：17

作者：

钱采韵

马燕珊

方昆豪

机构：

[1] 中山医科大学附属一院神经科

[2] 中山医科大学附属一院放射科

来源：

中国神经精神疾病杂志 | 1991年 / 06期

关键词：

多梗塞性痴呆; 对照组; 痴呆患者; 脑梗塞组; 梗塞灶; 脑梗塞; 脑梗; 痴呆组; MID; 丘脑; 间脑; 脑萎缩; 第三脑室; 头颅; CT;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

本文对多梗塞性痴呆(MID)患者的头颅CT图像作双额径(BF)、双尾径(BC)及Ⅲ脑室外侧至半球外侧裂径(ⅢV-S)与其相应颅腔径比率测定。结果表明MID组的BC比率增加,ⅢV-S比率减少,与健康对照组及脑梗塞非痴呆组比较,差异有显著性意义。本文认为多梗塞性痴呆不论梗塞灶的部位和容量大小,其痴呆的产生与Ⅲ脑室外侧壁、丘脑和脑岛之间的结构损害累及丘脑及其投射和Papez环路有关。同时,根据病史、症状和体征结合头颅CT检查有助于鉴别腔隙状态所致的痴呆、Alzheimer氏病的痴呆,以及多发性脑梗塞合并Alzheimer氏病。

引用

页码：336 / 338+382 +382

页数：4

共 9 条

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