脑干病变临床与影像学的对照研究

Comparative Study Between Clinical and Imaging Manifestations in Brain Stem Diseases

我们对有完整病历的临床资料和用CT和／或MR检查的脑干病变的病人17例进行了复习。并对其中13例做了症状、体征、影像学表现和诊断的比较分析。结果认为MR检查是发现脑干病变的一个最好方法。在6例脑桥病变中，1例没有有关脑桥的症状，4例与所谓的任何脑桥综合征不符。遇到5例延髓梗塞病例中，3例在右侧、2例在左侧。建议对复杂多变的脑干病变诊断应以MR影像为主，参考临床征象并随诊观察才是解决问题的正确程序。

We reyiewed 17 cases with brain stem disease which had complete clinical data and were examine by using CT and /or M R. 13 cases of them were analized for their symptoms,physical signs,imaging findings and their diagnosis. We found that MR imaging is the best method for detecting brain stem disease. Among 6 cases with pons disease, one had no symptom of pons, four did not conform with any syndrome. We encountered 5 lateral medullary infarct cases, 3 on the right and 2 on the left. We recommend that the diagnosis of brain stem disease mainly depending on the features of M R imaging, think ing of their clinical data and following up the course may be the correct process for the complex nervous problem.