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Computer-Tomografie bei Atrophien im Bereich der hinteren Schädelgrube

Computerized tomography in atrophy of the posterior fossa

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Summary

Cranial computerized tomography was carried out in 69 patients with cerebellar ataxia (45 with Friedreich's ataxia, 4 with Marie's spastic ataxia, 14 with cerebellar atrophy, and one patient with olivo-pontocerebellar atrophy).

In CT scans cerebellar atrophy is found to be of various localisation and partially of characteristic distribution. CT, therefore, greatly helps to distinguish different types of cerebellar and spino-cerebellar atrophy and also distinguishes separate cerebellar atrophy of various origin from other diseases like multiple sclerosis.

Zusammenfassung

Zur Differenzierung verschiedener Formen von Kleinhirnatrophien wurden axiale Computer-Tomogramme (CT) des Schädels bei 69 Patienten durchgeführt. Die größten Gruppen umfassen 45 Patienten mit Friedreichscher Ataxie und 14 Patienten mit idiopathischer oder symptomatischer Kleinhirnatrophie. Bei 4 Patienten konnte Morbus Nonne-Pierre Marie, einmal olivo-ponto-cerebelläre Atrophie diagnostiziert werden.

Es wird gezeigt, daß das CT eine wesentliche Hilfe zur Unterscheidung der verschiedenen Krankheitsgruppen intra vitam darstellt und darüber hinaus eine recht sichere Differenzierung gegenüber anderen Krankheiten erlaubt.

Die Atrophien sind unterschiedlich und zum Teil charakteristisch verteilt. Schwere Formen von Friedreichscher Ataxie gehen oft mit Atrophie von Oberwurm und Paravermis einher, sind also nicht rein spinal lokalisiert, was methodisch bedingt auch bei Sektionen oft makroskopisch nicht wahrzunehmen ist.

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  1. Abteilung Neurologie, Klinik Dietenbronn, Universität Ulm, D-7959, Schwendi 1, Bundesrepublik Deutschland

    D. Claus & J. C. Aschoff

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  1. D. Claus
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Claus, D., Aschoff, J.C. Computer-Tomografie bei Atrophien im Bereich der hinteren Schädelgrube. Arch. Psychiat. Nervenkr. 229, 179–187 (1980). https://doi.org/10.1007/BF00343081

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  • DOI: https://doi.org/10.1007/BF00343081

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