CAJ | 학술논문

目的：探讨皮层下动脉硬化性脑病颅脑ct诊断的意义和价值。方法结合我院临床诊断为皮层下动脉硬化性脑病， ct表现为侧脑室周围脑白质脱髓鞘改变的100例病例，按Goto分类法，将侧脑室前角周围脑白质脱髓鞘改变程度不同分为三型的标准，进行临床和影像综合分析。结果按Goto分类法Ⅰ型和Ⅱ型63例，临床表现轻，Ⅲ型37例，症状重，常偏瘫和言语不清,ct表现伴有脑萎缩（96例），腔隙性脑梗死（74例），伴大面积脑梗死（8例）、脑出血（7例）、脑积水和蛛网膜下腔积液（12例）。结论 ct检查对皮层下动脉硬化性脑病的诊断具有重要的价值，对于临床在预防、诊断和治疗皮层下动脉硬化性脑病方面具有重要意义。
목적：탐토피층하동맥경화성뇌병로뇌ct진단적의의화개치。방법결합아원림상진단위피층하동맥경화성뇌병， ct표현위측뇌실주위뇌백질탈수초개변적100례병례，안Goto분류법，장측뇌실전각주위뇌백질탈수초개변정도불동분위삼형적표준，진행림상화영상종합분석。결과안Goto분류법Ⅰ형화Ⅱ형63례，림상표현경，Ⅲ형37례，증상중，상편탄화언어불청,ct표현반유뇌위축（96례），강극성뇌경사（74례），반대면적뇌경사（8례）、뇌출혈（7례）、뇌적수화주망막하강적액（12례）。결론 ct검사대피층하동맥경화성뇌병적진단구유중요적개치，대우림상재예방、진단화치료피층하동맥경화성뇌병방면구유중요의의。
Objectiveto explore the value of ct in diagnosis of subcortical arteriosclerotic encephalopathy (sae). Methods100 patients were deifnitely diagnosed as SAE by clinic. CT showed low density of surrounding bilateral ventricle. Demyelinating encephalopathy of frontal horn of bilateral ventricle were divided into three types according to the classiifcation of Goto.Results clinical presentations showed mild in typesⅠ andⅡ in 63 patients, severe symptoms were found in 37 patients, including hemiplegia, and barylalia. ct appeared cerebral atrophy in 96 patients; cerebral lacunar infarction in 74; diffuse cerebral infarction in 8; hemorrhage in 7; and hydrocephalus and hydrops of subarachnoid space in 12.Conclusion ct was very valuable on diagnosis and evaluation of subcortical arteriosclerotic encephalopathy.