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成人的基底节区梗死常常由脑动脉硬化引起,临床多见;在婴幼儿多为外伤性。我科于1995年3月～1999年3月收治该类患儿35例,均经CT或MRI证实。经脱水、激素及神经细胞活化剂治疗,效果满意。现就该病的发病机理、临床表现及诊治问题进行探讨。 1 临床资料 1.1 一般资料 35例中男22例,女13例。年龄5个月～3岁,平均1.5岁。受伤方式:34例为意外跌伤,1例为空中坠物砸伤。就诊时间5小时～3天。受伤部位额部20例,枕部12例,颞部3例。 1.2 症状与体征 无昏迷者33例,不同的持续性意识障碍
Adult basal ganglia infarction is often caused by cerebral arteriosclerosis, more common clinical; mostly infants and young children traumatic. Our department in March 1995 ~ March 1999 admitted 35 cases of these children were confirmed by CT or MRI. After dehydration, hormones and nerve cell activator treatment, the effect is satisfactory. Now on the pathogenesis of the disease, clinical manifestations and diagnosis and treatment issues to be explored. 1 Clinical data 1.1 General Information 35 cases of male 22 cases, 13 females. Aged 5 months to 3 years old, with an average of 1.5 years old. Injuries: 34 cases fell accidental injuries, 1 case of falling objects hit the ground. Visiting time 5 hours ~ 3 days. Injuries in the amount of 20 cases of Department, occipital in 12 cases, 3 cases of temporal. 1.2 Symptoms and signs No coma in 33 cases, different persistent disturbance of consciousness