《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (5): 465-467.

• 论文 • 上一篇    下一篇

Rasmussen脑炎患者大脑中动脉血流速度的变化

吴小未1a,刘兴洲1a,黄光1a,栾国明1b,陈树花2,张玮2   

  1. 1.首都医科大学附属复兴医院，a.神经内科;b.神经外科，北京市 100038；2.北京三博脑科医院癫痫病区,北京市 100093。
  • 收稿日期:2010-03-26 修回日期:1900-01-01 出版日期:2010-05-25 发布日期:2010-05-25

Changes of Blood Flow Velocities in Middle Cerebral Artery with Rasmussen Encephalitis: 8 Cases Report

WU Xiao-wei, LIU Xing-zhou, HUANG Guang, et al.   

  1. Department of Neurology, Fuxing Hospital of Capital Medical University, Beijing 100038, China
  • Received:2010-03-26 Revised:1900-01-01 Published:2010-05-25 Online:2010-05-25

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摘要： 目的探讨Rasmussen脑炎患儿颅内较大血管血流速度变化的临床意义。方法对8例Rasmussen脑炎确诊患者在单纯部分性癫痫发作的发作期与间歇期采用经颅多普勒超声检测双侧大脑中动脉血流速度。结果病灶侧平均血流速度发作期较间歇期增加14.02%～48.14%，病灶对侧的变化范围为-0.74%～22.63%。结论在单纯部分性癫痫发作期间，病灶侧大脑中动脉供血区可表现为血流速度异常增高的高流速灌注区。

关键词: Rasmussen脑炎, 癫痫, 经颅多普勒超声, 血流速度, 大脑中动脉

Abstract: ObjectiveTo discuss clinical significance of changes in cerebral blood flow velocities with Rasmussen encephalitis. Methods8 cases diagnosed as Rasmussen encephalitis were measured the blood flow velocities in middle cerebral artery (MCA) with transcranial Doppler in ictal and interictal seizures. ResultsIctal mean flow velocity in the ipsilateral MCA to the epileptogenic foci increased 14.02%～48.14% to interictal one, while it was -0.74%～22.63% in the contralateral MCA. ConclusionAn increased flow velocity has been found in the ipsilateral MCA to the epileptogenic foci during seizure in Rasmussen encephalitis patients.

Key words: Rasmussen encephalitis, epilepsy, transcranial Doppler, blood flow velocity, middle cerebral artery