外部性脑积水113例观察分析

Observation and analysis of 113 cases of external hydrocephalus

目的结合文献探讨外部性脑积水的发生机制、临床表现及影像学诊断与鉴别,加深认识,避免误诊。方法回顾性分析我院2006年—2012年诊断为外部性脑积水的113例患儿的临床资料。结果原发性外部性脑积水39例,继发性74例;在积极治疗后症状消失治愈41例,好转27例,9例转往上级医院,36例放弃治疗。结论外部性脑积水的影像学表现主要为大脑前部蛛网膜下腔间隙增宽,临床上可分为原发性和继发性,继发性者原因较多,治疗不及时则预后欠佳;应对其加深认识,临床工作中遇到不明原因反复抽搐或头围增大的患儿时应行CT或MRI检查明确诊断并追查原发病,以便积极治疗,避免产生严重后遗症。

Objective The literature review external hydrocephalus mechanism,clinical and imaging findings. Methods Collected in our hospital the 2006-2012 diagnosis of external hydrocephalus 113 patients clinical data were retrospectively analyzed. Results The primary external hydrocephalus 39 cases,secondary 74 cases; symptoms disappear after active treatment cured 41 cases,improved in 27 cases,9 cases transferred to higher level hospitals,36 patients gave up treatment. Conclusion The external hydrocephalus images mainly for anterior cerebral subarachnoid space widened clinically can be divided into primary and secondary,secondary by reason more not treated early the prognosis is poor ; should deepen understanding of the clinical work experience unexplained recurrent seizures or increased head circumference in children should be CT or MR examination to confirm the diagnosis and tracing the primary disease,so that active treatment to avoid serious sequelae.