_不明原因_单侧侧脑室积水的影像学诊断与临床分析.pdf

∋ 198∋ 2008 6 31 3 BMU Journal, Jun. 2008, Vol. 31, No. 3 王培源 秦东京 张 林 王 霞 王 旭 许 昌 256603 !∀ 探讨隐匿性病变所致单侧侧脑室积水的CT表现和可能性原因 回顾性分析 76例 不明原因的单侧 侧脑室积水的临 及 CT资料 本组病例的单侧侧脑室积水首先出现侧脑室体部和额角扩大, 然后逐渐出现三角部 颞角和枕角扩大76例中46例有头部外伤史, 14例有发热头痛颈抗等类似颅内感染的表现 不明原因 的单侧 侧脑室积水 CT检查首先表现为侧脑室额角和体部扩大, 继之为三角部颞角和枕角的扩大; 可能性原因为既往颅脑损伤感 染先天性病变及局灶性病变等 !∀ 脑积水; 侧脑室; 单侧; 体层摄影术; X线计算机 ! ∀ R445 !∀ A !∀ 2008) The rad iological d iagnosis and clin ica l analy sis of unde fin ed un ilateral hydrocephalu s of lateral ven tric le WANG Peiyuan Q IN ongjing ZHANG L in et al epartment ofRadiology, AffiliatedHospital of BinzhouM edicalUniversity, Binzhou 256603 ! A bstract∀ O bj ective To study the CT appearances and possible reasons of unilateralhydrocephalus of lateral ventricle caused by secret diseases.M ethod s Retrospective analysis of the clinicalandCT appearancesof76 cases unilateralhydrocephalus of lateralven tricle caused by undefined reasonswas conducted. Resu lts In the casesofunilateralhydrocephalus of lateralventricle, the central part and anterior corner of lateralventricle broaden first, and then the triangular, inferior and posterior corner gradually. In all76 cases, 46 caseshad the histories ofhead trauma, 14 caseshad clinical features smi ilar to encephalic infection, such as fever, headache and neck resistance. Con clu sion The CT features ofundefined unilateral hydrocephalus of lateral ventricle is the anterior corner and the central part broaden first, and then the triangular, inferior and posterior corner gradually, the possible reasonswere head trauma history, in fection, congenital or localized diseases, etc. ! K ey w ords∀ hydrocephalus, later