前脑发育异常的CT表现附5例分析-放射学实践.PDF

2004 1 19 1 Radiol Practice, Jan 2004,Vol 19,No. 1 1 ## CT (5 ) 范国平, 俞炬明, 朱杰明, 钟伟兴, 李文华 = :分析前脑发育异常的CT 表现: 回顾分析经CT 检查发现的5 例前脑发育异常,4 例 前脑无裂 畸形( 其中3 例 半分叶型, 1例 分叶型) , 1例 视-隔发育不良: 在3例半分叶型前脑无裂畸形中,端脑灰质团块 不分裂者无侧脑室前角形成;分裂不全者前角狭长;分裂完全者前角呈方形前缘平其中1例增强扫描中发现单 一大脑 前动脉和呈横带状跨中线后部行走的脉络丛1例前脑无裂畸形类似于视- 隔发育不良, 因第三脑室形成不良而归类于分 叶型前脑无裂畸形1例视-隔发育不良表现 透明隔缺如伴侧脑室前角发育不良: CT 检查可以清楚地把前脑发 育异常的结构显示出来, 具有很高的诊断价值根据端脑灰质团块分裂和前角形成的程度可判断畸形的严重程度增强 扫描有利于对前脑无裂畸形中所伴随的颅内血管结构和脉络丛异常的观察 = 前脑发育异常; 前脑无裂畸形; 视-隔发育不良; 体层摄影术,X 线计算机 = R814.42; R742.8 = A = 1000-0313( 2004)01-0015-04 CT findings of prosencephalic anomaly FAN Guo-ping, U Ju-ming, ZHU Jie-ming, et al. Department of Radiology,Xinhua Hospital, Affiliated to Shanghai Second Medical University,Shanghai 200092,P.R.China = Abstract Objective:To analyze the CT findings of prosencephalic anomaly. Methods: CT findings of five patients with prosen- cephalic anomaly were retrespectively analyzed. Of these five patients, 1 case was septooptic dysplasia and 4 cases were holoprosen- cephaly,including 3 cases with semilobar holoprosencephaly and 1 case with lobar holoprosencephaly. Results: In one of 3 cases with semilobar holoprosencephaly,the anterior horns of lateral ventricles were absent without cleavage of the central gray matter of the telen- cephalon. Another case showed a long and narrow anterior hornwith incomplete cleavage. Inthe third casewith complete cleavage,the an- terior horn tended to be square-shaped.In one of these three caseswith hemilobar holoprosencephaly,the single anterior cerebral artery was found in anterior interhemisphericfissure, and the choroid plexus of both sides was found not separated and crossed over in posterior part of the brain in post-contrast CT scanning. One casewith septooptic dysplasia showed absence of septum pell