早期自闭症儿童大脑的计算机断层扫描。

Y Hoshino, T Manome, M Kaneko, Y Yashima, H Kumashiro
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引用次数: 13

摘要

为了检查自闭症儿童的颅脑CT,探讨CT扫描结果的病因学意义,我们对24例早期自闭症儿童(3 ~ 17岁,平均年龄7.6岁)和179例有头痛、热性惊厥等病史但CT正常的儿童进行了脑部CT检查。将自闭症儿童和正常儿童按年龄分为三组:第一组(3 ~ 5岁),第二组(6 ~ 9岁),第三组(10 ~ 17岁)。自闭症儿童双额CVI与正常儿童无显著差异。然而,在第三组,自闭症儿童的双额CVI显著高于正常儿童。自闭症儿童的CVI与正常儿童的CVI无显著差异。然而,在I组和II组中,自闭症儿童的bicautes CVI明显低于正常儿童。自闭症儿童第三脑室最大宽度与正常儿童无显著差异。然而,在第二组和第三组中,自闭症儿童的瞳孔比正常儿童的瞳孔宽。在自闭症儿童中,随着年龄的增长,这种差异变得越来越大。第三脑室的宽度与自闭症儿童的年龄呈正相关。孤独症儿童与正常儿童的脑最大横径的左右比值无显著差异。上述结果(1)-4)可能提示自闭症儿童第三脑室或侧脑室周围脑结构的进行性紊乱。
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Computed tomography of the brain in children with early infantile autism.

In order to examine the cranial CT of autistic children and investigate the etiological significance of CT scan findings, the CT of the brain was surveyed in 24 children with early infantile autism (3 to 17 years with a mean age of 7.6), and 179 children with the normal CT despite their medical histories such as headaches or febrile convulsions. According to their ages, the autistic and normal children were divided into the following three groups: Group I (age ranging from 3 to 5), Group II (age: 6 to 9) and Group III (age: 10 to 17). There was no significant difference between the bifrontal CVI of the autistic children and that of the normal children. However, in Group III, the bifrontal CVI of the autistic children was significantly higher than that of the normal children. There was no significant difference between the bicaudate CVI of the autistic children and that of the normal children. However, in Groups I and II, the bicaudate CVI of the autistic children was significantly lower than that of the normal children. The maximum widths of the third ventricle showed no significant difference between the autistic and normal children. However, in Groups II and III, those of the autistic children were wider than those of the normal children. In the autistic children, as the age increases, the difference becomes significantly wider. A positive correlation was observed between the width of the third ventricle and ages of the autistic children. An examination of the right-left ratio of maximum transverse diameter of the brain showed that there was no significant difference between the autistic and normal children. The above-mentioned results (1)-4)) might suggest a progressive disorder of the brain structure surrounding the third ventricle or lateral ventricles in the autistic children.

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