摘要
目的探讨烟雾病的临床特征、影像学诊断价值及治疗方法。方法回顾性分析10例烟雾病患者的临床特征和辅助检查结果及治疗。结果本组成人(7例)多于儿童(3例);儿童临床表现以脑缺血症状为主;脑磁共振血管成像(MRA)或数字减影血管造影(DSA)检查显示颈内动脉虹吸部末端和大脑前或中动脉近端狭窄或闭塞.并有脑基底部异常血管网形成。结论烟雾病儿童主要表现为脑缺血症状;脑MRA或DSA的异常征象是早期诊断烟雾病的重要依据。早期诊断、及时治疗是改善烟雾病预后的有效方法。
Objective To investigate clinical features,neuroradiological diagnosis and therapy of moyamoya. Methods 10 cases of moyamoya＇s clinical features,neuroradiological diagnosis and therapy were analysed retrospectively. Results In this group,there were more adults（7 cases） than children patients（3 cases） ;children patients pre- sented predominantly brain ischemia symptoms;stenosis or occlusion at the terminus of the siphon portions of internal carotid arteries（ICA） and proximal portions of anterior or middle cerebral arteries（ACA or MCA）,and abnormal vascular networks at the base of brain were noted by the magnetic resonance angiography（MRA） and digital subtraction radiography（DSA）. Conclusion Children patients of moyamoya diseases presents predominantly brain ischemia symptoms. MRA or DSA of brain investigation is the main way to diagnose moyamoya disease in the early age. Early diagnosis and promptly medical intervention are effective ways to improve prognosis of moyamoya disease.
出处
《中国基层医药》
CAS
2007年第8期1313-1314,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
烟雾病
脑血管造影术
磁共振血管造影术
儿童
Moyamoya disease
Digital subtraction radiography
Magnetic resonance angiography
Children
