THE SPECTRUM OF LEUKOMALACIA USING CRANIAL ULTRASOUND
THE SPECTRUM OF LEUKOMALACIA USING CRANIAL ULTRASOUND
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DOI：
10.1016/s0166-4328(05)80189-5
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发表时间：
1992-07-31
影响因子：
2.7
通讯作者：
DUBOWITZ, LMS
中科院分区：
文献类型：
--
作者：
DEVRIES, LS;EKEN, P;DUBOWITZ, LMS
使用颅脑超声白质软化的频谱进行了讨论。暂时性密度不发展成囊性病变可能代表轻度的白质软化症时，持续至少一周。单侧脑实质密度增高可能是由于缺血区出血所致，也可能是由于静脉梗塞所致。囊性白质软化症可以自信地诊断使用适当的设备和执行连续扫描。应区分脑室周围白色物质中的囊肿和深部白色物质中的囊肿，因为后者具有更高的脑视觉障碍风险。对这些婴儿进行仔细的眼科检查将使我们能够在出生后的头几个月内识别出患有脑视力障碍的婴儿，从而可以使用旨在促进视觉发育的特殊计划。
The spectrum of leukomalacia using cranial ultrasound is discussed. Transient densities not evolving into cystic lesions may represent a mild degree of leukomalacia when persisting for at least a week. A unilateral parenchymal density may be due to bleeding into an ischaemic area, but can also be due to a venous infarction. Cystic leukomalacia can be confidently diagnosed using appropriate equipment and performing sequential scans. A distinction should be made between cysts in the periventricular white matter and cysts in the deep white matter, as the latter carries a higher risk for cerebral visual impairment. Careful ophthalmological examination of these infants will enable us to identify infants with cerebral visual impairment during the first few months of life, allowing the use of special programs aimed at promoting visual development.