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目的探讨CT诊断脑结节性硬化的临床价值。方法对4例结节性硬化患者头部CT图像及临床资料进行回顾性分析。结果4例患者以癫痫、智力低下及头部外伤就诊,CT表现为双侧室管膜下多发大小不等结节影,多数结节见钙化,3例脑实质同时见多发结节影,1例双侧侧脑室白质区脱髓鞘改变,1例双侧侧脑室扩张。结论室管膜下多发结节状钙化影为脑结节性硬化的典型CT表现,结合患者临床表现,对本病可以做出明确诊断。
Objective To investigate the clinical value of CT diagnosis of brain tuberous sclerosis. Methods The head CT images and clinical data of 4 patients with tuberous sclerosis were retrospectively analyzed. Results Four patients were treated with epilepsy, mental retardation and head trauma. CT showed multiple nodules with subependymal ependyma, calcification of most nodules, multiple nodules in 3 cases of parenchyma, Cases of bilateral lateral ventricular white matter demyelination changes, 1 case of bilateral lateral ventricle dilatation. Conclusions Subependymal nodular calcification is a typical CT manifestations of brain tuberous sclerosis. Combined with the clinical manifestations of patients, this disease can make a definite diagnosis.