66. 下列何者有關腦發展異常(CNS malformation)的描述不正確？
(A)平腦迴常合併點頭癲癇。
(B)腦裂(Schizencephaly)可能不會抽搐。
(C)myelomeningocele常合併 Chiari I malformation。
(D)Heterotopia常會影響智能發展。
(E)Miller-Dieker症候群常合併平腦迴。

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統計： A(3), B(5), C(27), D(6), E(1) #1125773

詳解 (共 1 筆)

#1389397
Chiari malformation:
Chiari I: downward dysplasment of cerebellum and cerebellar tonsil
Chiari II(Arnold-Chiari): Associated with myelomeningocele
Chiari III: meningoencephalocele
Chiari IV: hypoplasia of cerebellum
 
Between 35 and 85 percent of children with classic lissencephaly develop infantile spasms in the first year of life
 
Schizencephaly:
Bilateral, open-lip : severe seziure 
Unilateral, closed-lip : hemiparesis, motor delay
 
Periventricular nodular heterotopia: 
  If without other anormaly: seizures and learning problems are common, while more severe developmental problems are not. 
  When microcephaly or any other brain malformations are found, the likelihood of mental retardation increases greatly.
Subcortical nodular heterotopia: Despite the large size of the heterotopia, development may be normal or only mildly abnormal
 
15% of lissencephaly is associated with Miller-Dieker syndrome:
prominent forehead, bitemporal hollowing, anteverted nostrils, prominent upper lip
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