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Results MRI of all WE patients showed symmetrical high signals on the brain T2WI, Flair and diffusion weighted imaging, 6 cases of them in the medial thalamus, 4 cases in surrounding the aqueduct, 3 cases in the third ventricle gray matter, 2 cases in the mamillary bodies, 1 case in the putamen,1 case in the optic chiasm, 1 case in the superior cerebella vermis and 1 case in the subcortical white matter; 2 cases had reinforcement effect. 2 cases showed no abnormal signals on T2WI and Flair early, but showed high signal symmetrically in the medial thalamus on DWI imaging.

结果 8例WE患者MRI示脑部T2WI、Flair成像及弥散加权成像有对称性异常高信号影,其中出现在丘脑内侧6例、中脑导水管周围灰质4例、第三脑室周围灰质3例、乳头体2例及壳核、视交叉、小脑上蚓部、皮质下白质各1例;2例有增强效应。2例发病早期T2WI、Flair无异常信号影,DWI示丘脑内侧对称性异常高信号影。

The age of onset were 7 to 11 years old.Three patients revealed mental impairment and limbs weakness.Other symptoms included alalia,ataxia in three cases and visual and auditive disturbances in 2 case,One case had visual nerve atrophy and seizures.Testost in one case and 17-hydroxide steroid in another case were degressive.Cerebral biopsy in one case suggest lipide sediment.Testicle impairment in one case was found by ultrasonography.The cerebral magnetic resonance imaging of all the 4 patients showed the characteristic pattern of symmetrical long T1 and long T2 signal in the parieto-occipital region.

结果发病年龄7~11岁,均有智能下降、肢体无力,3例伴言语不清、共济失调,2例伴视听力下降,1例伴视神经萎缩、癫发作,血睾酮降低及血17-羟类固醇降低各1例,B超示双侧睾丸弥漫性病变、脑活检示类脂质沉积病各1例,4例磁共振均见双侧枕顶叶对称性蝶翼状长T1、长T2信号灶,可累及颞叶、内囊和脑干白质。

Results In 45 cases of biliary obstructive disease,there was intraductal stone in 29 cases,choledochitis in 5 cases,choledochal cyst in 2 cases,malignant tumor in 9 cases.intraductal stone in 29 cases was mostly presented as single or multiple round or...

结果45例中,胆管结石29例、炎症5例、胆总管囊肿2例、恶性肿瘤9例。29例胆管结石在T1WI及T2WI一般表现为胆管内单个或多个圆形、卵圆形的低信号,磁共振胰胆管成像示梗阻端呈圆形或杯口状信号缺失;9例恶性肿瘤中7例显示梗阻部位T1WI为低、等信号,T2WI为等、稍高信号的肿块灶,MRCP示梗阻端呈&截断&状或&鼠尾&状狭窄。

3 Patients were in the acutestage,〓FDG and 〓NH〓 PET showed brain stem infarction in 2 patients, while CT was normal. MRA of one of them showed right vertebral artery obstruction. One case showed focal infarction within the territory of the right middle cerebral artery 12 hours after stroke onset.〓NH〓 uptake was reduced in right frontoparietal lobe, putamen and part of thalamus, while hyperperfusion was observed in ipsilateral head of caudate nucleus and a portion of thalamus.

急性期3例,2例〓FDG和〓NH〓均示病灶位于右侧脑干为放射性缺损区,CT检查均未显示,1例MRA示右侧椎动脉阻塞:另1例〓FDG示病灶在右侧大脑中动脉区域,与12小时CT所示病灶范围相同,但12小时的〓NH〓示右侧额、顶叶,壳核和部分丘脑为放射性减低和缺损区,而同侧尾状核头部和部分丘脑为过度灌注;发病24小时〓FDG显示除〓NH〓所见缺损区外,右侧额、顶叶部分区域和右侧尾状核头部代谢异常增高,血流和代谢有不一致处。

The median survival of the irradiated patients was 6 months and that of the un-irradiated ones, 2 months.

脑MRI示病变消失和缩小分别为2例和4例,脊髓MRI示病变消失1例,缩小3例。

[Objective] To analyze the outcome of internal fixation for occipitalization with atlantoaxial joint dislocation by posterior decompression and occipitocervical fusion [Method] From December 2005 to June 2007,8 patients with occipitalization and atlantoaxial joint dislocation received removal of the posterior arcus of atlas and the enlargement of the posterior edge of the foramen magnum after skull traction performing for an average of 135 daysAll patients were operated on by posterior craniocervical fusion using cervifix internal fixation system and autologous ilium graftsThe clinical efficacy after operation was analyzed by Japanese Orthopaedic Associationneural function score [Result] All the patients were followed up from 6 months to 2 years, average of 15 monthsNo complication was foundAtlantodental interval was 5~9 mm before and 4~6 mm after skull tractionAtlantoaxial joint dislocation didn't completely reducedThe neurological defects were improved to some extents according to the JOA scoreImageology showed all patients had full decompression and bony fusionThe loosening or broken internal fixation was not found [Conclusion] Posterior decompression and fusion is a feasible method for the treatment of occipitalization with atlantoaxial joint dislocation,and the clinical effect is satisfactory

分析后路减压枕颈融合内固定术治疗合并寰枢关节脱位的寰椎枕骨化临床疗效。[方法]2005年12月至2007年6月间,对8例合并寰枢关节脱位的寰椎枕骨化患者在行颅骨牵引治疗一段时间(12~16 d,平均135 d)后采用枕骨大孔后缘扩大,寰椎后弓切除减压取自体髂骨枕颈融合Cervifix系统内固定术,手术后采用日本骨科学会神经功能评分分析临床疗效。[结果]8例患者随访6个月~2年,平均为15个月。8例患者无一例出现术后并发症,术前寰齿前间隙为5~9 mm,经颅骨牵引后为5~7 mm,寰枢关节脱位未能完全复位。手术前后JOA评分示神经症状均有不同程度恢复,影像学检查示枕颈区减压充分植骨区获得骨性融合,无一例出现内固定松动或断裂。[结论]合并寰枢关节脱位的寰椎枕骨化患者术前仔细评估影像学改变,采用颅骨牵引一段时间后行后路减压枕颈融合内固定术的治疗方案是合理可行的,且临床效果满意。

Cases of superior mesenteric venous thrombosis were found, in one case, the SMV was occlusion completely. MSCTA showed the SMV and portal venous unopacification, in the other case, the filling defect was seen in SMV in portal venous, and the strip low density was seen in MSCTA.. The other signs of AMI included bowel wall edema and thickening、massive fluid in the bowel and ascites in all 5 cases, mesenteric edema and pneumatosis in 2 cases respectively.

肠系膜上静脉梗塞2例,其中1例SMV完全闭塞,管腔内无对比剂充盈,MSCTA示SMV和门静脉均未显影;另1例SMV内见充盈缺损影,MSCTA示SMV内见条状低密度影。。5例均见小肠病变肠管壁明显增厚、肿胀,肠管积液扩张及腹水,2例见肠系膜水肿,2例并肠壁积气。

Blood loss volume were 110mL to 480mL. 24 patients had residual calculus when recheck KUB, 7 accepted ESWL, 4 PCN, and 13 automatic removing urinary calculus. IVU showed that renal visualization was well, hydrops obviously decreased, none calculus re-cured or renal pelvis stegnosis.

术后3月复查腹部平片示有24例有结石残留,7例经体外振波碎石,4例经肾造痪管经皮肾镜下碎石,13例泥沙样小结石自动排石。12月复查静脉肾孟造影示肾显影良好,积水明显减少,未见结石复发和肾孟狭窄。

A context is an instantiation of context variables at a certain point in time.

上下文在某点及时是上下文变量的例示

The sentences in the construction are its instantiations and elaborations.

这类句子例示或详述的是双数量词构式。

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