儿童创伤性基底节区脑梗死15例临床分析

Traumatic cerebral infarction of basal ganglia in children :analysis of 15 cases

目的研究儿童创伤性基底节区脑梗死的发病机制、临床特点及探讨早期诊断治疗方案。方法回顾分析了15例创伤性基底节区脑梗死儿童病人的临床资料。结果伤后早期即可表现偏瘫、面瘫、失语,而意识障碍多较轻,早期明确诊断,经扩张血管、神经细胞保护剂、改善微循环、高压氧等治疗后多数肢体功能及语言功能恢复满意。结论创伤性基底节区脑损伤和儿童中枢神经系统的生理解剖特点有关,正确认识该病,动态CT及MRI是其重要诊断技术;对于创伤性基底节区脑梗死重在早期诊断,采取积极而恰当的治疗,大多数病人预后良好。

Objective To explore the pathogenesis , clinical characteristics, early diagnosis and treatment in children with Traumatic Cerebral Infarction of Basal Ganglia. Methods A retrospective analysis of the clinical data of 15 children with Traumatic Cerebral Infarction of Basal Ganglia was performed. Results Most of the patients had different degree hemiplegia and relatively good consciousness early after injury. And most of them have a better prognosis if they were diagnosted early and then applied vasodilator, nerve protective agent, microcirculation modification, hyperbaric oxygenation, their repairment in movement and aphasia are pleased. Conclusion Traumatic Cerebral Infarction of Basal Ganglia is related to the physiology and anatomy characteristics in children never systerm. Serial CT and MRI/MRS are the best investigation. Most of the patients have favorable prognosis as long as the diagnosis was early established and the patients were aggressively treated.