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Results (1) 6 cases of Tuberous Sclerosis. Diffused subependymal nodular calcification lesions were found in all cases on unenhenced CT. 4 patients are 2 pairs of mother/child relationship. Both of the two mothers are found to suffer from renal angiomyolipoma.(2)1 case of neurofibromatosis showed abnormal spinal canal: scoliosis of thoracic and lumbar spine, concave change of vertebral posterior border. Bilateral renal hypogenesis was found in this patient. Diffused hyper-density lesions were found in kidney and fatty accumulation was found in back skin.(3)6 cases of Sturge-Weber syndrome. On unenhenced CT, curving and strip-shaped calcifications were found along the parietal and occipital gyrus.

结果 ①结节性硬化6例,所有病例CT平扫见两侧脑室室管膜下多发小结节状高密度钙化灶,其中4例为两对母子关系,并见两位母亲合并有肾脏错构瘤,;②神经纤维瘤病1例,MRI表现为椎管异常,胸腰段脊柱侧弯,椎体后缘呈明显的切凹改变;伴有双肾发育不良,CT示肾内多个高密度影,背部皮肤多量脂肪堆积,③脑颜面血管瘤综合征6例, CT可见顶枕部沿脑回分布的弯曲的条状高密度钙化,部分延伸致侧脑室内,增强后见病灶内有扭曲的条状和结节状明显强化的血管影;④小脑血管瘤病4例,影像学表现为小脑内大囊、小结节样占位性病变。

PMMA is the most used lesion filling at present; There is not significant difference between unipedicular and bipedicular vertebroplasty; Using vertebral body venography and appropriate dense bone cement can reduce leakage; Bolster for self-replacement can rebound vertebral body height, and Balloon-PKP and Sky-PKP can be avoided; In order to reduce refracture of vertebral body, anti-osteoporosis drugs should be used.

PMMA是目前最常用的填充物;单侧注射和双侧注射疗效没有明显差别;应用造影剂及掌握合适的骨水泥黏稠度可以减少骨水泥的渗漏率;术前腰部垫枕自身复位可以恢复椎体的高度,避免采用操作复杂且价格昂贵的球囊-PKP及Sky-PKP;进行PVP时应该配合应用抗骨质疏松药物,以减少椎体再骨折的发生。

The stability provided by 3 occipitoatlantal fixation techniques (occiput –C1 transarticular screws, occipital keel screws rigidly interconnected with C-1 lateral mass screws, and suboccipital/sublaminar wired contoured rod) were compared.

对象对3种寰枕固定技术(经寰枕关节螺丝固定,枕骨螺钉坚强联接C 1侧块螺钉的固定,枕骨下/椎板下钢丝将轮廓棒固定)所提供的稳定性进行比较。

We didn\'t find activated points in cerebellum and deeper brain.3.Acupuncture of sham point can significantly activated BA2,6,8,13,21,37,40,44,45,47,putamen and other areas.Both the left and right side of the brain have activated points,but points on the right side are more than those on the left.Both sides of middle temporal gyms,parietal lobule,supramarginal gyms and the lentiform nucleus have obvious activated points.The activated points mainly concentrated in the cerebral cortex,the deep-activated are mainly in the putamen.4. Sham needling in sham point can significantly activate BA6, 8,9,10,18,21,37,40,43,44.The activated points are mainly distributed in the right side of the brain.The left side also has some activated points;5.In the comparasion of Acupunture and sham-needling in S J5,we find that BA8 and cerebellum have distinct regional activated points;6.In the comparasion of acupuncture in SJ5 and sham point,we find BA2 and left cerebellar regions have activated points;7.Sham needling in S J5 compared with sham point,we find BA7,8,9,18 and other areas have activated points,the main activated points are at the left brain.It is not difficult to find that the distribution of activated points are mainly in the middle brain,no obvious activated points at the temporal lobe.

结果:通过对数据的处理和分析,我们初步发现:1、外关穴真针刺能显著激活Brodmann area45、37、44、40、22、13、37、47区、海马、杏仁核、黑质等区域,小脑左侧更明显,左侧颞叶皮层激活点多于右侧,且脑部左侧深层激活点多于右侧;2、外关穴假针刺能显著激活BA46、44、41、13、40、37、19区等区域,激活点主要集中表现在大脑皮层,以颞叶为主,小脑及深部未发现明显激活点;3、非穴真针刺组结果分析初步表明,BA2、6、8、13、21、37、40、44、45、47区以及壳核等区域有激活点,大脑左、右侧均有激活点,但右侧更多,双侧颞中回、顶叶下小叶、缘上回及豆状核有明显激活点,激活点主要集中在大脑皮层,深部激活点主要在壳核;4、非穴假针刺能显著激活BA6、8、9、10、18、21、37、40、43、44区等区域有激活点,主要分布在大脑的右侧,左侧也有不少激活点,就其具体分布主要在颞叶和额叶,少部分分布在顶叶和枕叶;5、外关穴真针刺与假针刺对比发现,BA8区和小脑等区域有明显的激活点;6、外关穴真针刺与非穴真针刺对比发现BA2区、左侧小脑等区域有激活点;7、外关穴假针刺与非穴假针刺对比发现,BA7、8、9、18等区有激活点,主要反应点在左侧大脑的枕叶中回、楔叶,顶叶楔前叶及额上回、中回,就其分布不难看出主要在大脑中部,颞叶未见明显激活点。

As revealed by the voltage topographic maps and the tomographic mapping, the source location of the distinct N1 is in the occipitotemporal areas.

并且,与单纯形状知觉任务相比,图形形状和空间位置知觉任务表现枕颞区N2波幅的显著减弱,P3潜伏期的王著缩短,额区的P2波幅的显著减弱;(3)脑电地形图与高分辨率断层成象显示,两种任务的特征波N1成分均来源于双侧的枕颞皮层,表明两种任务均涉及到与物体形状识别相关的视皮层腹侧通路,而差别波dN2成分来源于左侧枕颞区,暗示特征加工的差异主要发生在左侧枕颞区。

Results When lesion was located in the spinal cord ventrally and olivo ponto OPCA cerebellar atrophy, the evoked potentials N30, P40 from C2 and occiput after stimulating tibial nerve showed simultaneously abnormal.

结果 脊髓腹侧及小脑病变可致胫神经刺激,C2、枕点 N30及P40电位出现同步性异常改变,且胫神经刺激出现异常者,正中神经刺激,C2、枕点电位却可保持正常。

Results The supratentorial lesions involved the occipital lobe in 4, frontal lobe in 3, fronto-occipital lobe in 2, temporo-occipital lobe in 3, lateral ventricle in 1 case and the saddle region in 1. All the lesions were large in volume and most of them presented heterogeneous signals in MRI. Of the 14 cases, 12 showed cystic degeneration and necrosis, 2 had hemorrhage and 6 showed signs of emptied small blood vessels. Twelve cases had heterogeneous enhancement and 2 had moderate enhancement. Pathologically, 10 cases of neuroblastomas were identified, along with 3 ganglioneuroblastomas and 1 atypical rhabdoid tumor.

结果 病灶位于顶叶4例,额叶3例,枕顶叶2例,颞枕叶3例,侧脑室1例,鞍区1例,病灶普遍较大,病灶绝大多数信号不均匀,病灶内可见囊变/坏死(12例)、出血(2例)、流空小血管影(6例),增强后病灶呈明显不均匀强化(12例),中等强化2例;神经母细胞瘤10例,节细胞神经母细胞瘤3例,非典型横纹肌样瘤1例。

Results: ADC in MS group was increased in all regions of NAWM compared to controls(P<0.05),significantly higher in the body of corpus callosum, internal capsule, periventricular WM, frontal WM, parietal WM and occipital WM(P<0.01). FA value in MS group was decreased in the body of corpus callosum, internal capsule, periventricular WM, frontal WM, parietal WM and occipital WM(P<0.05), the genu and splenium of CC,middle cerebellar peduncle showed an insignificant trend of lower FA.

结果:MS组的正常表现脑白质的ADC值均高于对照组(P<0.05),以胼胝体体部、内囊、侧脑室旁及额、顶、枕叶脑白质更为显著(P<0.01);MS组的FA值与对照组比较,胼胝体体部、顶、额、枕叶白质及内囊、侧脑室旁发现明显降低(P<0.05),以后4个部位更为显著(P<0.01),而胼胝体膝部、压部和小脑结合臂有降低趋势,但无统计学意义。

To explore the microdissection of the cerebellopontine angle as well as to study the advantage and disadvantage of the retrosigmoid approach and the retrosigmoid suprameatal approach, the relationship among the facial nerves, inter-medium nerves, anterior inferior cerebellar artery and petrosal vein were studied, and two approaches particularly also were explored from fifteen dry skulls and ten wet skulls, along the approach of RSA and RSSMA.

本研究旨在了解桥小脑角的显微解剖;探讨枕下乙状窦后入路及乙状窦后-内耳道上入路的优缺点。本实验采用15例(30侧)干标本和10例(20侧)湿标本,按照枕下乙状窦后入路和乙状窦后-内耳道上入路的所涉及的解剖区域,解剖观测面神经、中间神经、小脑前下动脉及岩静脉等诸多结构,并对神经外科手术乙状窦后入路及乙状窦后。

Results fMRI showed left parietal regions, left frontal middle/ inferior gyrus, bilateral fusiform gyrus, lingual gyrus, occipital regions, supplementary motor area and right cerebellum were activated during the task.

结果fMRI显示两种任务均激活了左侧顶下小叶、额中回、额下回、右侧小脑及双侧梭状回、舌回、枕中回、枕下回、辅助运动区。

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