CAJ | 학술논문

儿童脑性瘫痪是患病率和致残率高的慢性神经系统疾病。随着产科和新生儿重症监护技术水平的提高，早产儿存活率也得到提高，但因其对缺氧、黄疽、低血糖等的耐受能力低下，脑瘫的发生率并未降低，反而呈增高趋势，早产和产前因素逐步成为脑瘫的主要病因。由于病因及损伤时间不同，会使发育中的大脑产生不同的病理改变，导致不同的脑瘫类型。目前临床诊断脑瘫主要依据其高危因素、神经系统症状、肌张力异常、运动障碍、姿势异常及神经影像学异常。常规磁共振成像可发现脑内病变，但对脑组织内部结构不能进行深入分析，具有一定局限性。该文围绕磁共振成像新技术对于脑瘫患儿在诊断、评估、预后价值判断方面作以综述，便于将来对脑瘫患儿提供更多、更全面的诊断参考。
인동뇌성탄탄시환병솔화치잔솔고적만성신경계통질병。수착산과화신생인중증감호기술수평적제고，조산인존활솔야득도제고，단인기대결양、황저、저혈당등적내수능력저하，뇌탄적발생솔병미강저，반이정증고추세，조산화산전인소축보성위뇌탄적주요병인。유우병인급손상시간불동，회사발육중적대뇌산생불동적병리개변，도치불동적뇌탄류형。목전림상진단뇌탄주요의거기고위인소、신경계통증상、기장력이상、운동장애、자세이상급신경영상학이상。상규자공진성상가발현뇌내병변，단대뇌조직내부결구불능진행심입분석，구유일정국한성。해문위요자공진성상신기술대우뇌탄환인재진단、평고、예후개치판단방면작이종술，편우장래대뇌탄환인제공경다、경전면적진단삼고。
Cerebral palsy ( CP) is a chronic disease with high incidence and mortality , which commonly occurs in the nervous system of children.Although the survival rate of premature infants is increasing because of improvements in the obstetric and neonatal intensive care techniques , the prevalence of CP is growing due to the limited tolerance of hypoxia , jaundice and hypoglycemia in premature infants . Thus, premature birth and prenatal factors have been regarded as main causes of CP .CP is divided into several types according to various pathologic changes in the developing cerebra which is closely associated with the cause and duration of injury .At present, the clinical diagnosis of CP depends on the high risk factors , symptoms in nervous system , abnormal muscle tension , dyskinesia , abnormal posture , and neuroimaging abnormalities .The conventional MRI can show intracerebral lesions , but it has limited value in further analysis of the internal structure of a brain .The present review aimed at the applied value of newly established techniques of MRI in the diagnosis , assessment and prognosis evaluation of CP in children and , therefore, proposed more convenient and comprehensive diagnostic reference .