脑裂畸形的MR影像征象分析附32例报告.pdfVIP

68 2002 11 17 6 Radiol Practice, Nov 2002, Vol 17, No. 6 MR ( 32 ) 曹代荣 李银官 倪希和 林钊 方哲明 郑贤应 = :探讨脑裂畸形的MR 影像特征: 回顾性 析 32 例脑裂畸形的MR 表现: 本组32 例, 共 42 侧裂隙,融合型29 侧, 离型13 侧其MR 影像表现为横贯一侧或双侧大脑半球并衬有灰质的裂隙, 裂隙外侧端脑表 面常见楔形缺损(36/ 42) , 其位置大多数在大脑半球凸面中部三 之一(29/ 42) , 裂隙内侧端脑室缘呈幕状突起( 19/ 42) 或 突向脑室腔的灰质块( 15/ 42) 裂隙常与侧裂池相连( 26/ 42) , 二者位置关系呈直线型直角型及锐角型三种类型, 直角型 最常见绝大多数病例侧脑室扩大(29/ 32) , 其中17 例对称性扩大, 12 例病灶侧脑室扩大更明显合并透明隔缺如28 例,灰质异位11 例, 多微小脑回7 例: 脑裂畸形的MR 影像征象具有特征性, 目前是诊断脑裂畸形的金标准 = 脑裂畸形 脑 磁共振成像 畸形, 先天性 = R455. 2, R816. 1 = A = 1000-0313(2002) 06-0468-03 Analysis of MR imaging features of schizencephaly CAO Dairong, I Yinguan, Ni Xihe, et al.Department of CT and MR, the First Affiliated Hospital, Fujian Medical University, Fuzhou 350005 = Abstract Objective: To study MR imaging features of schizencephaly. Methods: The MRI appearances of schizencephaly of 32 patients were analyzed retrospectively.Results: In our series,there were 42 clefts, including 29 of closed-lip type and 13 of open-lip type. Their MR appearances were as followings: gray matter lined full thickness clefts involving one or both cerebral hemispheres;t he cerebral surface at the lateral end of the cleft appeared as a wedge-shaped defect ( 36/ 42) ; most of them located on the middle 1/ 3 of cerebral hemispherical convex surface at their lateral end(29/ 42) ; diverticulum-like protrusion of the lateral ventricle at the medial end of the cleft ( 19/ 42) and a gray matter mass projecting to lateral ventricle ( 15/ 42) at their medial ends. Most clefts ( 26/ 42) communicated wit h cisterns of lateral fissure in three types:straight-line, right angle and acute angle type. In 29 cases with the enlarged lateral ventricles,there were symmetrical ( 17/ 29) and asymmetrical ( 12/ 29) enlargement. There were 28 cases of