Study on the rehabilitation in post-stroke patients with shoulder-hand syndrome by manipulation treatment / 中国康复理论与实践

@#ObjectiveTo observe the rehabilitative effect of patients with shoulder-hand syndrome after stroke by manipulation treatment. MethodsThe patients with shoulder-hand syndrome were randomly divided into two groups, manipulation group (180cases) and control group (128 cases). Patients in the manipulation group were regularly given a passive quantitative movement on shoulder, elbow and hand joints,while patients in the control group were irregularly given a passive movement or ordered to perform an autonomic movement. The signs and symptoms of patients in these two groups were not much different. The rehabilitative effects were compared 3 months later. ResultsSigns and symptoms in the manipulation groups improved much better than that of the control group. Conclusions The manipulation treatment for the post-stroke patients with shoulder-hand syndrome is the method that is simple, effective and easy to perform.

CT analysis of acute intracranial trauma / 中国康复理论与实践

@#ObjectiveTo study CT features of acute intracranial trauma and changes of hematoma in acute stage. MethodsCT findings of acute intracranial trauma of 152 cases were analyzed. ResultsIn 100 cases with intracranial hematoma, the hematoma enlarged obviously within 5-72 h after trauma in 25 cases; the hematoma enlarged markedly within 72 h-7d after trauma in 3 cases. In 76 cases of cerebral contusion, counter point trauma was found in 17 cases. In 61 cases of subarachnoid hemorrhage, high density in cerebral sulcus was shown in 49 cases. Skull fracture was found in 75 cases. Conclusions Intracranial hematoma may enlarge gradually within 7d after trauma. Cerebral contusion was partially due to counter point trauma. Hemorrhage in cerebral sulcus was demonstrated on CT as increased density in the cerebral sulcus, which is the most important sign of subarachnoid hemorrhage. Hemorrhage in interhemispheric fissure was demonstrated on CT as centipede-line increased density, which is an important sign for differentiating from subdural hematoma. Skull fracture was closely related with lntracranial trauma, which was complicated with adjacent extradural hematoma frequently.

MRI findings of acute spinal cord stab wound / 中国康复理论与实践

@#ObjectiveTo study the MR images findings of acute spinal cord stab wound injury. MethodsThe clinical material and MRI findings of 12 patients with acute spinal cord stab wound injury within 7 days were reviewed retrospectively with 1.0 T magnet. Results4 of 12 patients had the Brown-Sequards's Syndrome, the locations of wound injury are mainly within T6-8 level. MRI findings of pathway of the stab wound were seen in all cases. Many other signals including artefact of knife track, spinal cord injury, edema, hemorrhage, and hematoma of subdural and epidural were also seen in some cases. The location relationship of the hematoma to dura in distinguishing a subdural hematoma from an epidural hematoma by MR images is important, injury of the ligamentum flavum and anterior and posterior longitudinal ligaments and spinal dura can be diagnosed by either absence or interruption of the normal linear low-signal-intensity band.Conclusions MR images allows vasualization of intramedullary injury, extramedullary injury and injury to spinal ligaments and dura. T 2 -weighted images can be helpful in visualization of the knife track extending from the skin surface to the spinal canal.

MRI features of periventricular leukomalacia in children with cerebral palsy / 中国康复理论与实践

@#ObjectiveTo study the MRI features of children with cerebral palsy(CP) resulting from anoxia.Methods The clinical and MRI findings in 83 premature or mature children affected by cerebral palsy resulting from PVL were reviewed retrospectively to search for the MRI features and the data were analyzed by statistic. Results1. MRI features of CP children resulting from anoxia were clearly demonstrated:1) MRI features of PVL: reduction of white matter ;T2W signal hyperintensity in white matter; ventricle enlarged or irregular appearance; lateral fissure;deepened or widened Sulci;and abnormal corpus callossum; 2) other abnormal MRI features: basal ganglion damaged; cerebral cortex atrophy or malacia. 2.Differences in MRI features between premature and mature CP children: there are significant differences between premature and mature children at malacia and cyst of deep white matter; enlargement and irregularity of the lateral ventricles. ConclusionsMRI examination can clearly display the level and scope of focus of PVL,and the differences in MRI features between premature and mature children.The level and degree of premature children are deeper and more extensive than those of mature children.Cyst and malacia in deep white matter,enlargement and irregularity of the lateral ventricles occur more frequantly in premature children.