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The article summaries the progress in study of cognitive impairment after thalamic stroke from four aspect which covered neuropsychological mechanism of thalami participating in cognition, the sorting of thalamic stroke, estimating method of cognitive function after thalamic stroke and the status of clinical study of thalamic stroke.

脑卒中后认知功能损害已成为临床神经心理学的研究热点,本文从丘脑参与认知神经心理的机制、丘脑卒中神经心理学分类、丘脑卒中认知功能评价方法、卒中的临床研究概况等四方面对丘脑卒中后认知功能损害的研究进展进行了总结,以期有利于丘脑卒中治疗方案和康复计划的制定,减少丘脑卒中带来的认知功能损害。

Results:①The mean ADC values in the cortical gray matter showed a descent tendency with advancing age; an increased tendency were showed in the mean ADC values of the white matter and thalami, basal ganglia, the lateral ventricle.

结果:①灰质的平均ADC表现随年龄增加的线形下降趋势,白质、丘脑、基底节、侧脑室的平均ADC都表现随年龄增加的线形增加趋势。

Results Abnormal signal lesions were found in 47 patients with viral encephalitis, including multiple or single, symmetrical or asymmetrical large patch shape lesions, the located mainly in cortices, subcortical and basal ganglia and thalami. The lesions carried long T 1 and long T 2 on MRI. Enhanced MRI was performed in 22 cases, and demonstrated abnormal enhancement in 11 cases, including large patch or gyrus shape enhancement in 7 cases.

结果 病毒性脑炎脑内有多发或单发的对称或不对称大片状病灶,主要位于皮层、皮层下及基底节丘脑区,MRI呈长T1 长T2 信号,增强扫描22例,显示病灶强化者11例,其中呈大片状或脑回状强化者7例。

Vein of Galen thrombosis have a special CT and MR appearance,that is symmetric hypodense areas or long-T1 and long-T2 signal of bilaleral thalami,internal capsules and basal ganglias.Thrombus and its changing maybe directly observed on CT and MRI.

Galen静脉血栓有特征性的CT及MR表现,即双丘脑、双内囊及双基底节区对称性低密度影和长T1、长T2异常信号,CT和MR可直接观察栓子及其变化。

Results MRI showed symmetric abnormal signals in basal ganglia in 27 patients, in thalami and dentate nucleus in 21 patients, and in corona radiata-centrum ovale in 9 patients. All the lesions were hyperintensity on T1WI. Local hypointensity in basal ganglia was found in 4 patients, while hyperintensity or slight hyperintensity on both T2WI and T2-FLAIR were found in 26 patients, and slight hyperintensity with hypointensity on both T2WI and T2-FLAIR in 1 patient.

结果 27例颅脑MRI表现为双侧基底节区片状对称性异常信号,21例双侧丘脑、齿状核片状异常信号,9例双侧放射冠-半卵圆中心见片状对称性异常信号;27例T1WI上见高信号区,其中4例基底节区病灶内见小片状低信号;26例T2WI及T2-FLAIR见高或稍高信号,1例见稍高、低混杂信号。

No significant difference was found between the volumes of GM, right caudate nucleus, globus pallidus, bilateral frontal lobes, anterior cingulate gyri, thalami, hy, and amygdalae in both groups.

结果 与正常对照组相比,OCD患者组的全脑白质、双侧壳核体积增加;左侧尾状核和苍白球体积减小(P<0.05)。

Methods The MR findings of14patients with cerebral palsy caused by hypoxic-ischemic damage were studied retrospectively and correlated with clinical findings.All those patients underwent MRI.Cerebral cortex and subcortical white matter,deep white matter,basal regions and thalami,and ventricles and subarachnoid space were observed on T1WI and T2WI.

对14例缺氧缺血性脑损伤所致脑瘫患儿行MR检查,在T1WI及T2WI上对大脑皮层及皮层下白质、深部白质、基底节、丘脑、以及脑室和蛛网膜下腔等部位进行观察。

Objective To study the MR findings and its relationship with clinical manifestions of cerebral palsy caused by hypoxic-ischemic brain damage.The pathological mechanisms of MR findings were also explored.Methods The MR findings of14patients with cerebral palsy caused by hypoxic-ischemic damage were studied retrospectively and correlated with clinical findings.All those patients underwent MRI.Cerebral cortex and subcortical white matter,deep white matter,basal regions and thalami,and ventricles and subarachnoid space were observed on T1WI and T2WI.

目的 通过分析14例缺氧缺血性脑损伤所致脑瘫的MR成像特点及临床表现,讨论了该病的MRI表现与临床表现的相关性,以及MRI表现的病理损伤机制方法对14例缺氧缺血性脑损伤所致脑瘫患儿行MR检查,在T1WI及T2WI上对脑皮层及皮层下白质、深部白质、基底节、丘脑、以及脑室和蛛网膜下腔等部位进行观察。

Methods:102 whole brains were serially transected with each section 2mm in thickness.82 red nuclei,substantia nigra and subthalamic nuclei,110 amydaloid nuclei,122 lenticular nuclei and thalami,and 114 caputs nuclei naudati were located in three dimension.

对102个整脑作三维切面的2mm厚连续切片,分别对82个红核、黑质、丘脑底核,110个杏仁核、122个豆状核、丘脑和114个尾状核头等脑内主要神经核团进行定位研究。

MRI of IHP has some features. Symmetric high signals on both T1WI and T2WI in basal ganglia, thalami and dentate nucleus have important diagnostic value for IHP.

特发性甲状旁腺功能减退症的颅脑MRI表现具有一定特征性,双侧基底节区、丘脑及齿状核对称短T1稍长T2异常信号具有很高的诊断价值。

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