CAJ | 학술논문

目的：探讨儿童急性小脑共济失调的临床、实验室及影像学检查特征、治疗和预后。方法回顾分析我院收治的23例儿童急性小脑共济失调患者的临床资料，对病因、临床表现、脑脊液检查、头部C T和M RI结果及治疗进行分析。结果23例急性小脑共济失调患者中前驱感染占82.6％，脑脊液白细胞轻度增多占30.4％，头C T检查无异常，M RI检查异常率17.4％，激素治疗3 d症状减轻6例，10 d明显好转23例，20 d全部症状体征消失，2个月后随访无复发。结论儿童急性小脑共济失调病因以感染多见，结合临床表现进行脑脊液、头C T和M RI检查是早期正确诊断的关键，及时应用激素治疗预后良好。
목적：탐토인동급성소뇌공제실조적림상、실험실급영상학검사특정、치료화예후。방법회고분석아원수치적23례인동급성소뇌공제실조환자적림상자료，대병인、림상표현、뇌척액검사、두부C T화M RI결과급치료진행분석。결과23례급성소뇌공제실조환자중전구감염점82.6％，뇌척액백세포경도증다점30.4％，두C T검사무이상，M RI검사이상솔17.4％，격소치료3 d증상감경6례，10 d명현호전23례，20 d전부증상체정소실，2개월후수방무복발。결론인동급성소뇌공제실조병인이감염다견，결합림상표현진행뇌척액、두C T화M RI검사시조기정학진단적관건，급시응용격소치료예후량호。
Objective To explore the clinical ,laboratory and imaging testing characteristics ,treatment as well as progno-sis of children with acute cerebellar ataxia .Methods Clinical data of 23 cases treated in our hospital were analyzed ,an analysis of the pathogenic factors ,their clinical manifestations ,cerebrospinal fluid examination ,results of the brain CT and MRI and their treatment effectiveness was made .Results Among the 23 cases ,children with the prodromal infection accounted for 82 . 6% and those with slight increase of white corpuscles in cerebrospinal fluid accounted for 30 .4% .CT test on head showed no abnormality while the abnormal rate in MRI test amounted to 17 .4% .With the treatment of hormone ,symptoms of 6 cases be-came less obvious with 6 days'treatment and 23 cases turned evidently well within 10 days'treatment ;all the pathological symp-toms disappeared with 20 days'treatment .In addition ,there was no relapse of the disease in the two months'follow-up .Conclu-sion A majority of cases of children with acute cerebellar ataxia are caused by infection .The key to a correct early-stage diag-nosis lies in the check of cerebrospinal fluid ,brain CT and MRI ,in combination with the individual clinical manifestation ,it is advisable to apply hormone in time for treatment and they may gain good prognosis .