儿童外伤性脑梗死与脑血管解剖之间的关系

The Relationship Between Anatomic Characteristics of Cerebral Blood Vessel and Traumatic Cerebral Infarction in Children.

目的 :探讨儿童外伤性脑梗死与脑血管解剖之间的关系。方法 :回顾性分析 2 5例经CT和MRI证实的儿童外伤性脑梗死患者的临床表现、影像学资料及治疗效果 ;复习相关的解剖学资料 ,并分析其与本病的关系。结果 :儿童外伤性脑梗死多发生于一侧基底节区 ,有明显的颅脑损伤病史及神经系统受损表现。经治疗 ,2 5例中 2 2例在 6个月内完全恢复 ,3例轻残 ;其中 15例于伤后 8个月～ 2a分别复查头颅CT ,显示原低密度阴影区域持续存在但较受伤时缩小。结论 :儿童外伤性脑梗死的发生与其脑血管解剖学特点密切相关 ,预后良好。

Objective:To study the relationship between anatomic characteristics of cerbral blood vessel and traumatic cerebral infarction in children.Methods:Retrospective study was conducted on the syndrome,image and curative effect in 25 children with the traumatic cerebral infarction.The relative anatomy data were reviewed and the relationship of them to the disease was discussed.Results:The majority of traumatic cerebral infarction in the children who had head injury histories and clinical symptoms occurred at one side of the basal ganglia.22 cases fully recovered within 6 months and 3 cases were associated with light disability.CT scanning was given on 15 cases of them during 8 months to 2a after trauma and the images disclosed the original hypodense areas still existed but reduced.Conclusion:The mechanism of the traumatic cerebral infarction in children has a very close relationship with anatomic characteristics of cerebral blood vessel and the disease has a good prognosis.