老年人皮层下动脉硬化性脑病的CT与临床诊断(附33例分析)

CT and clinical diagnosis of subcortical arteriosclerotic encephalopathy in senile population:A report of 33 cases

目的探讨老年人SAE临床与CT表现的关系。方法选取本院33例经CT检查有较典型SAE影像学表现的病人对比分析。结果本组33例中20例是以脑卒中样和高血压眩晕起病,13例以智能减退起病。CT表现分为轻、中、重Ⅲ型,具有典型SAE神经症状的病例均见于Ⅱ、Ⅲ型中。慢性高血压与SAE有着密切的相关性。结论在脑白质病变的病人中易发生SAE,CT对指导早期防治SAE有重要价值。

Objective To explore the correlation between CT findings and clinical manifestations of subcortical arteriosclerotic encephalopathy(SAE).Methods Thirty-three patients with SAE were analyzed retrospectively.Results In the pathogenic patterns of SAE in all patients,20 cases were began as apoplectiform stroke and hypertensive vertigo while other 13 cases were began as mental dysfuction.CT features of SAE in all patients were classified into 3 types(Ⅰ.Ⅱ.Ⅲ).Typical symptoms of SAE were found in type Ⅱ and Ⅲ.There were close correlation between chronic hypertension and SAE.Conclusion SAE occur frequently in the patients with pathologic change in white matter.CT examination has an important value for guiding the early prevention of SAE.