1.Analysis of clinical symptoms of cerebral palsy and head CT
Gaoqi FENG ; Xueping SHANG ; Xiuzhen LIN
Chinese Journal of Rehabilitation Theory and Practice 2001;7(4):168-168
ObjectiveTo disuss the relationship of clinical symptoms of cerebral palsy and the morphologie changes of head CT. MethodsHead CT photos of 86 cases of cerebral palsy infants were inspected and analyzed.ResultsAmong 86 cases of cerebral palsy infants 66 cases were abnormal in CT scan, the abnormal rate was 76.7%, in which cerebral atrophy constituted the most part (59.1%) of abnormity. The younger the sufferers were, the higher the abnormal rate reached. Sufferers with suffocation in disease history had the highest CT abnormity rate. In clinical types, sufferers of spasticity had the highest CT abnormity rate. Conclusion Morphologic examination of head CT is vital to diagnose the cause of cerebral palsy, and helps to find pathologic changes early.
2.Endovascular recanalization in non-acute symptomatic occlusion of the ophthalmic segment of internal carotid artery
Jinlong ZHANG ; Jianjun GU ; Guang FENG ; Yongfeng WANG ; Jinchao XIA ; Huili GAO ; Gaoqi ZHANG ; Yucheng LI ; Ziliang WANG ; Tianixiao LI
Chinese Journal of Neuromedicine 2020;19(1):23-28
Objective To investigate the safety,efficacy and feasibility of endovascular recanalization in non-acute symptomatic occlusion of the ophthalmic segment of internal carotid artery,and analyze the factors affecting its success.Methods Fifty-four patients with non-acute symptomatic occlusion of the ophthalmic segment of internal carotid artery,underwent endovascular recanalization in our hospital from January 2013 to December 2017,were enrolled.Modified Rankin scale (mRS) and National institutes of health stroke scale (NIHSS) scores were compared before and after treatment;the prognosis results were analyzed after 2 years of follow-up.Independent factors influencing the prognoses were identified by Logistic regression analysis.Results Recanalization was achieved in 52 patients and failure was noted in two patients.The mRS scores and NIHSS scores before treatment (2.25±0.13,18.43±1.36) were significantly higher than those after treatment (1.44±0.05,11.81±0.71,P<0.05).After 2 years of follow-up,good prognosis was noted in 42 patients,poor prognosis in 8 patients,and loss of follow-up in 2 patients.Multivariate Logistic analysis showed that history of hypertension and history of diabetes were independent risk factors for the prognoses of patients with non-acute symptomatic occlusion of the ophthalmic segment of internal carotid artery after endovascular reeanalization (OR=1.429,95CI:1.146-1.783,P=0.005;OR=2.597,95CI:2.364-2.854,P=0.005).Conclusion The curative effect of interventional therapy for non-acute occlusion of symptomatic internal carotid artery is reliable,and histories of hypertension and diabetes can affect the prognoses of patients.