- 期刊
Acute Hemiplegia in Infancy and Childhood
嬰幼兒及兒童期的急性半身麻痺
摘要
從民國七十一年至八十年間，我們在台大醫院小兒科共經歷五十七例患童以急性半身麻庳為初始症狀的多種顱內疾患。其中共有33名男童及24名女童，年齡從十二天大到十八歲不等。從病因上考量，以腦血管疾病(66.7%)，顱內腫瘤(12.3%)，以及頭部外傷(10.5%)等居大多數。其症候表現除急性半身麻痹外，以腦神經麻痹(47.4%)，意識障礙(42.1%)，頭痛(42.1%)，嘔吐(31.6%)，局部痙癴(21.1%)，以及發燒(21.1%)等最為常見。診斷工具則以腦部電腦斷層及核磁共振以及血管攝管最為有用。病例中有十二例死亡，其中半數死於顱內病因。存活者則常有神經學後遺症一以動作缺損，智能障礙及伴隋之痙癴等三種最為常見。
關鍵字
無資料並列摘要
From 1982 to 1991, there were 57 patients diagnosed with various intracranial disorders manifested initially with acute hemiplegia at the Department of Pediatrics, National Taiwan University Hospital. There were 33 boys and 24 girls, aged 12 days to 18 years old. In etiological consideration, cerebrovascular disease (66.7%), intracranial tumors (12.3%) and head trauma (10.5%) accounted for most of the cases. Besides acute hemiplegia, cranial nerve palsy (47.4%), disturbed consciousness (42.1%), headache (42.1%), vomiting (31.6%), focal seizure (21.1%) and fever (21.1%) were also common manifestations. Neuroimage studies of CT/MRI scan and angiography were the most useful diagnostic tools. Treatment modalities included medical treatment in 25 patients and surgical intervention in 16 patients and supportive treatment in the others. There were 12 fatal cases, half of whom died directly of intracranial pathology. The survivors exhibited various neurological deficits, in which motor deficits, mental retardation, and subsequent seizures were the three most common sequelae.