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The CC MRI findings are characterized mainly by:(1)frequently-encountered multiple circular foci during the cysticercus survival:small excentric spotty images of the mural cysticercus scolex :slightly high signs on T1WI and middle-lower signs on T2WI;lower signs on T1WI and high signs on T2WI of the capsular liquid;lower signs of the cerebrospinal fluid but relatively high signs of the capsular liquid on FLAIR;and unremarkable peripheral edema;(2)scolex disappearance,enlarged capsular cavity and remarkable peripheral edema during cysticercus degeneration and necrosis;(3)lower signs on T1WI and T2WI and peripheral edema disappearance after the focal calcification;(4)findings shown by the enhanced scanning:strengthened (24/36) or non-strengthened (12/36) cyst-wall circular images;strengthened (22/36) or non-strengthened (14/36) small intracapsular spotty images;(5)cerebral-ventricular type often occurring in the third and fourth ventricles:one case in the third ventricle (1/36) and three cases in the fourth ventricle (3/36),all of suffered from obstructive hydrocephalus;(6)hydrocephalus caused by arachnoid adhesion (2/36) in meningeal type.

结果 脑实质型18例,脑室型4例,脑膜型3例,混合型11例,主要MRI特点:(1)囊虫存活期,病灶呈圆型,多发常见,附壁囊虫头节呈偏心型小点状影,T1WI呈略高信号,T2WI呈中低信号;囊液T1WI呈低信号,T2WI呈高信号;在FLAIR上脑脊液呈低信号,而囊液呈相对高信号;周围水肿不明显。(2)囊虫退变坏死期,头节消失,囊腔扩大,周围水肿明显。(3)病灶钙化后,T1WI及T2WI均呈低信号,周围水肿消失。(4)增强扫描表现为:囊壁环状增强(24/36),或不增强(12/36);囊内小点状影增强(22/36),或不增强(14/36)。(5)脑室型:常发生于第三、四脑室,其中第三脑室1例(1/36),第四脑室3例(3/36),均引起阻塞性脑积水。(6)脑膜型:因蛛网膜粘连,而引起脑积水(2/36)。

Methods 37 hypertension brain hemorrhage patients,by the hematocele quantity,the shape and patient's condition were treated with soft channel technology-micro wound in the ventricles of the brain and haematoma liquefication drainage,to eliminate the hematocele,rescue the life,improve prognosis.

对37例高血压脑室出血患者,依据脑室内积血的量、形态及患者的病情,行软通道技术-微创脑室内血肿液化引流术,清除血肿,抢救生命,改善预后。

Abstract] Objective To discuss the clinical analysis on 37 cases of hypertension intraventricular hemorrhage with soft channel technology-liquefied drainage of hematoma.Methods 37 hypertension brain hemorrhage patients,by the hematocele quantity,the shape and patient's condition were treated with soft channel technology-micro wound in the ventricles of the brain and haematoma liquefication drainage,to eliminate the hematocele,rescue the life,improve prognosis.

目的 探讨应用软通道技术-微创脑室内血肿液化引流术治疗高血压脑室出血的疗效方法对37例高血压脑室出血患者,依据脑室内积血的量、形态及患者的病情,行软通道技术-微创脑室内血肿液化引流术,清除血肿,抢救生命,改善预后。

The meliorative group of 40 patients was applied with continuous ahernant drainage surgery on meliorative side ventricle and lower cavity of lumbar arachnoid, while the contrast group of 40 patients was applied with traditional drainage surgery on side ventricle combined with lumbar centesis.

方法将80例脑室出血病人随机分成两组,改良组(40例)采用改良式侧脑室和腰椎蛛网膜下腔持续交替引流术,传统组(40例)应用传统侧脑室引流结合腰椎穿刺术。

cerebral hemorrhage of 46 ventricle grave (be more than 20ml) patient to divide two groups into A, B randomly, a group 22, use microscopical technical ossicle window opens haematoma of skull grave head cleared art + group of;B of art of the drainage outside ventricle 24, in art of drainage of puncture of haematoma of head of grave of be issued to lower levels of CT fixed position + art of the drainage outside ventricle.

方法46例脑室型丘脑出血(大于20ml)患者随机分成A、B两组,A组22例,采用显微技术小骨窗开颅丘脑血肿清除术+脑室外引流术;B组24例,在CT定位下行丘脑血肿穿刺引流术+脑室外引流术。

Results The choroid plexus, hypophysis, area postrema and pineal body, namely, circumventricular organs and ependyma as well as pia mater layers were stained by the HRP reaction products.The HRP reaction products were observed in the tissue space of membrane mucosa nasi, around the fila olfactoria and venules, and within the venules under the light microscopy and electron microscopy, also. Scintillation count showed that the radioactivity of the CVOs was higher than that of the background. The radioautography showed that the scattered grains of silver existed within the cells of neurocyte layer also.

结果 在脑室周围器官及脑室周围室管膜、软脑膜层有HRP反应产物的聚集,在鼻中隔的鼻粘膜下组织间隙、嗅丝周围间隙及静脉周围和管腔内也可见到HRP反应产物;液闪计数显示,大白鼠的脉络丛、脑垂体、最后区、松果体等脑室周围器官放射性活度明显高于本底;放射自显影显示大白鼠脑组织神经层细胞内有散在分布的银颗粒。

Objective To measure the normal values of ventricle to brain ratio, third ventricular width, fourth ventricular lateral and anteroposterior diameter in Chinese juveniles.

目的提出国人青少年侧脑室脑室脑比、第三脑室横径、第四脑室横径和前后径的CT测量正常值。

The PRL-like cells were also presented in the ventral ependyma of the lateral ventricle and the glial lamina in the basal surface of the brain. The processes of PRL-LIR cells in PPN, SCN, PVN and PAN mainly projected to the third ventricle, those in AN and ELV mainly projected to the lateral ventricle, and those in SON to the glial lamina in the basal surface of the brain. The results showed that PRL could be released into ventricularis system and participate in the regulation of the cerebrum-cerebrospinal fluid circuit.

视前室旁核、视交叉上核、下丘脑室旁核、弓状核等核团内的PRL阳性神经元有突起向第三脑室投射,伏隔核内及侧脑室室管膜上的PRL阳性神经元有突起伸至侧脑室,视上核的PRL阳性神经元也有突起投射至脑基底神经胶质板,表明鸡脑内的PRL可以释放入脑室系统,参与调节脑-脑脊液神经体液回路。

Results 5 cases central gaugliocytoma and 2 cases colloid cyst were located at middle line of ventricle,6 cases medulloblastoma were located at the top of the fourth ventricle or super cerebellum vermis,5 cases ependymoma were located at one lateral ventricle,3 cases ependymoma were located at the fouth ventricle,2 cases papilloma of choroid plexus werre located at triangle area of lateral ventricle,2 cases meningioma were located at triangle area of lateral ventricle,1 cases astrocytoma were located at lateral ventricle anterior horn.

结果 5例中央性神经细胞瘤和2例胶样囊肿发生于中线室间孔区;6例髓母细胞瘤分别发生于小脑上蚓部和四脑室顶部近中线区;5例室管膜瘤发生在单侧脑室,年龄分别为28~36岁;3例室管膜瘤发生在四脑室,年龄分别为7~13岁;2例脉络丛乳头状瘤发生侧脑室三角区,年龄13~15岁;2例脑膜瘤发生在侧脑室三角区,年龄为15~71岁,1例巨细胞型星形细胞瘤发生在右侧脑室底部,年龄为30岁。

In our research,Wistar rats and SD rats which were parathyroidectomized were used as donors and recepients respectively.The parathyroid gland of the Wistar rat were allografted into the cerebroventricle and other different sites of the brains in SD rat s tereotaxically. Using methods of testing serum Ca~(2+) concentration,histological examination,histochemical and immunocytochemical methods and electron microscopic observation,we investigated the survival of the grafting tissue,its revascularization, infiltrating of monocytes, changes of microglia and astrocytes, the relationship of the CNS with the immune system, and the mechanism of rejection were investigated.The results as following: I .Effects on PTG after allografting into cerebroventricle and cerebral parenchyma of the brain: Testing serum Ca~(2+) conc.

本研究以Wistar大鼠作为供体,切除甲状旁腺的SD大鼠作为受体,在立体定位下将同种异体的PTG移植到大脑的不同部位,设计了侧脑室-内分泌系统移植的代替途径,比较了侧脑室内移植和脑实质内移植的异同,通过测定血清Ca~(2+)的浓度、组织学检查、组织化学和免疫细胞化学以及电镜观察对移植后PTG组织的存活、血管的再生、单核细胞的浸润、CNS内胶质细胞的变化、对免疫系统的影响及免疫排斥的机制进行了研究,结果如下:一、同种异体PTG侧脑室内移植与脑实质内移植的比较:血清Ca~(2+)的检查发现,PTG侧脑室内移植后第7天,血清Ca~(2+)的浓度恢复到8mg%以上,一直持续到移植后第8-12周;移植后第12周仍有60%移植PTG的动物血清Ca~(2+)维持在正常水平。

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