MRI是儿童先天性TORCH综合征治疗的首选影像学检查方式

Application and clinical analysis of MRI in the TORCH of children

目的探讨MRI在儿童先天性TORCH综合征中的应用价值。方法回顾性分析经证实的36例TORCH患儿的影像资料及临床资料,包括男19例、女17例,年龄5 d^3岁,所有患儿均行头颅MRI扫描。结果弥漫性囊性脑软化20例及穿通囊肿7例;27例脑实质不同程度钙化,呈条状及斑点状,以及少许脑回样融合性钙化,主要位于室管膜下及脑室周围;小头畸形,平滑脑11例,巨脑回畸形15例,小脑发育不全3例,脑裂畸形6例;积水性无脑畸形3例;脑实质脱髓鞘及胶质增生13例;脑积水17例,硬膜下积液9例及弥漫性脑萎缩21例。结论MRI能够对TORCH综合征中的各种征象进行直观显示,为本病的一种首选影像学检查。

Objective To explore the value of MRI in the TORCH of children.Methods The imaging and clinical data of 36 children confirmed TORCH were retrospectively analyzed.Nineteen boys and 17 girls were included,ranging in age from 5 d to 3 years old.All the children underwent head scan of MRI.Results Diffuse cystic encephalomalacia accounted for 20 cases and penetrating cyst were 7 cases.There were 27 cases with varying degrees of calcification in the brain parenchyma,which were striated and spotted.A few cases with ileocentric fusion calcification,mainly located in the subependymal and periventricular areas.Microcephaly,smooth brain accounted for 11 cases,giant gyrus malformation 15 cases,cerebellar hypoplasia 3 cases,cleft brain malformation 6 cases,hydroanencephaly 3 cases,demyelination and gliosis of brain parenchyma 13 cases.There were 17 cases of hydrocephalus,9 cases of subdural effusion and 21 cases of diffuse cerebral atrophy.Conclusion MRI could visually display various signs in TORCH syndrome.It is a preferred imaging examination for this disease.