颅脑先天畸形影像诊断.ppt

WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:08.10:15:08.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0504.htm9.files/slide0504.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:3145 Size:3145 Last Last Modified:Thu,15 Jun 2006 02:07:46 GMTModified:Thu,15 Jun 2006 02:07:46 GMT第九节第九节第九节第九节 颅脑先天畸形及发育异常颅脑先天畸形及发育异常颅脑先天畸形及发育异常颅脑先天畸形及发育异常WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:08.10:15:08.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0505.htm9.files/slide0505.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:6165 Size:6165 Last Last Modified:Thu,15 Jun 2006 02:07:48 GMTModified:Thu,15 Jun 2006 02:07:48 GMT学习要点学习要点学习要点学习要点本节应了解、熟悉和掌握的知识点本节应了解、熟悉和掌握的知识点l了解颅脑先天发育异常的分类了解颅脑先天发育异常的分类 l熟悉常见颅脑发育异常的影像学表现熟悉常见颅脑发育异常的影像学表现 l神经皮肤综合征的影像学表现神经皮肤综合征的影像学表现WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:08.10:15:08.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0506.htm9.files/slide0506.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:5554 Size:5554 Last Last Modified:Thu,15 Jun 2006 02:07:48 GMTModified:Thu,15 Jun 2006 02:07:48 GMT学习难点学习难点学习难点学习难点本节学习中的难点本节学习中的难点l脑先天性发育异常的分类和影像学表现脑先天性发育异常的分类和影像学表现 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0519.htm9.files/slide0519.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:3628 Size:3628 Last Last Modified:Thu,15 Jun 2006 02:07:58 GMTModified:Thu,15 Jun 2006 02:07:58 GMT颅脑先天性畸形分类颅脑先天性畸形分类颅脑先天性畸形分类颅脑先天性畸形分类WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0508.htm9.files/slide0508.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:2851 Size:2851 Last Last Modified:Thu,15 Jun 2006 02:07:48 GMTModified:Thu,15 Jun 2006 02:07:48 GMT一、头颅先天性畸形一、头颅先天性畸形一、头颅先天性畸形一、头颅先天性畸形WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0509.htm9.files/slide0509.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:4811 Size:4811 Last Last Modified:Thu,15 Jun 2006 02:07:48 GMTModified:Thu,15 Jun 2006 02:07:48 GMT狭颅症（狭颅症（狭颅症（狭颅症（craniostenosis craniostenosis craniostenosis craniostenosis）l颅缝提早骨化、闭合，致头颅畸形，包括舟状颅缝提早骨化、闭合，致头颅畸形，包括舟状 头畸形、短头畸形、尖头畸形、偏头畸形、小头畸形、短头畸形、尖头畸形、偏头畸形、小 头畸形等头畸形等WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0510.htm9.files/slide0510.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:5317 Size:5317 Last Last Modified:Thu,15 Jun 2006 02:07:50 GMTModified:Thu,15 Jun 2006 02:07:50 GMT矢状缝及顶颞缝提早闭合，头颅左右径生长受限，前后矢状缝及顶颞缝提早闭合，头颅左右径生长受限，前后径生长显著径生长显著 舟状头变形舟状头变形舟状头变形舟状头变形舟状头变形舟状头变形WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0514.htm9.files/slide0514.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:5582 Size:5582 Last Last Modified:Thu,15 Jun 2006 02:07:56 GMTModified:Thu,15 Jun 2006 02:07:56 GMT颅底陷入颅底陷入颅底陷入颅底陷入l颅底陷入枕骨大孔周围骨质，枕骨基底部、髁部、鳞部向颅腔颅底陷入枕骨大孔周围骨质，枕骨基底部、髁部、鳞部向颅腔内陷入内陷入l扁平颅底前、中、后颅窝失去正常的阶梯状关系扁平颅底前、中、后颅窝失去正常的阶梯状关系WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0515.htm9.files/slide0515.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:9979 Size:9979 Last Last Modified:Thu,15 Jun 2006 02:07:56 GMTModified:Thu,15 Jun 2006 02:07:56 GMT测量标准测量标准测量标准测量标准lChamberlainChamberlain：硬腭后缘与枕骨大孔后缘连线，：硬腭后缘与枕骨大孔后缘连线，齿状突高于此线齿状突高于此线3mm3mm为异常为异常lMcGregorMcGregor：硬腭后缘与枕骨最低点连线，硬腭后缘与枕骨最低点连线，齿状突高于此线齿状突高于此线6mm6mm为异常为异常WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0518.htm9.files/slide0518.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:2855 Size:2855 Last Last Modified:Thu,15 Jun 2006 02:07:58 GMTModified:Thu,15 Jun 2006 02:07:58 GMT二、脑先天性发育异常二、脑先天性发育异常二、脑先天性发育异常二、脑先天性发育异常先天性脑积水先天性脑积水先天性脑积水先天性脑积水l先天性脑积水：又称积水性无脑畸形先天性脑积水：又称积水性无脑畸形l病因：病因不明，可能与胚胎期颈内动脉发育病因：病因不明，可能与胚胎期颈内动脉发育 不良、母体感染、放射损伤有关不良、母体感染、放射损伤有关l临床与病理：头颅迅速增大、面部比例失调，临床与病理：头颅迅速增大、面部比例失调，智力低下，多在一岁内死亡智力低下，多在一岁内死亡影像学表现影像学表现影像学表现影像学表现lX X线平片：头颅呈球形增大，囟门大、颅缝宽、颅壁薄，颅线平片：头颅呈球形增大，囟门大、颅缝宽、颅壁薄，颅面骨比例失调面骨比例失调lCTCT表现：额、顶、颞叶脑实质几乎消失，部分枕叶、基底神表现：额、顶、颞叶脑实质几乎消失，部分枕叶、基底神经核、丘脑保存，小脑、脑干、四脑室一般正常经核、丘脑保存，小脑、脑干、四脑室一般正常lMRIMRI表现：幕上为水样信号，大脑镰、基底节、小脑及脑干表现：幕上为水样信号，大脑镰、基底节、小脑及脑干结构正常结构正常先天性脑积水先天性脑积水先天性脑积水先天性脑积水WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0533.htm9.files/slide0533.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:6666 Size:6666 Last Last Modified:Thu,15 Jun 2006 02:08:08 GMTModified:Thu,15 Jun 2006 02:08:08 GMT四脑室中、侧孔先天性闭塞四脑室中、侧孔先天性闭塞四脑室中、侧孔先天性闭塞四脑室中、侧孔先天性闭塞四脑室中、侧孔先天性闭塞四脑室中、侧孔先天性闭塞l 又称又称 丹丹-瓦氏畸形瓦氏畸形 Dandy-Walker malformation Dandy-Walker malformation l 小脑半球及蚓部发育不良、四脑室中孔和侧孔闭小脑半球及蚓部发育不良、四脑室中孔和侧孔闭 锁致四脑室扩张和梗阻性脑积水锁致四脑室扩张和梗阻性脑积水WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0535.htm9.files/slide0535.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:6644 Size:6644 Last Last Modified:Thu,15 Jun 2006 02:08:10 GMTModified:Thu,15 Jun 2006 02:08:10 GMT影像学表现影像学表现影像学表现影像学表现影像学表现影像学表现后颅凹扩大；巨大囊肿；后颅凹扩大；巨大囊肿；小脑下蚓缺如，上蚓移位；小脑下蚓缺如，上蚓移位；小脑半球发育不良；小脑半球发育不良；脑干受压，幕上脑积水脑干受压，幕上脑积水鉴别：蛛网膜囊肿、大枕大池鉴别：蛛网膜囊肿、大枕大池WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0536.htm9.files/slide0536.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:4915 Size:4915 Last Last Modified:Thu,15 Jun 2006 02:08:10 GMTModified:Thu,15 Jun 2006 02:08:10 GMTDandy-WalkerDandy-WalkerDandy-WalkerDandy-Walker畸形畸形畸形畸形(图图图图)WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0538.htm9.files/slide0538.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:8529 Size:8529 Last Last Modified:Thu,15 Jun 2006 02:08:12 GMTModified:Thu,15 Jun 2006 02:08:12 GMT脑裂、脑沟和脑回发育畸形脑裂、脑沟和脑回发育畸形脑裂、脑沟和脑回发育畸形脑裂、脑沟和脑回发育畸形脑裂、脑沟和脑回发育畸形脑裂、脑沟和脑回发育畸形l 概述：前脑无裂畸形、无脑回、多小脑回、灰质异概述：前脑无裂畸形、无脑回、多小脑回、灰质异 位、脑裂畸形及脑沟回移位等，胚胎位、脑裂畸形及脑沟回移位等，胚胎2 26 6月月l 病因不明：血管性，感染性，化学性病因不明：血管性，感染性，化学性WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0539.htm9.files/slide0539.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:9369 Size:9369 Last Last Modified:Thu,15 Jun 2006 02:08:12 GMTModified:Thu,15 Jun 2006 02:08:12 GMT无脑回畸形（无脑回畸形（无脑回畸形（无脑回畸形（无脑回畸形（无脑回畸形（agyriaagyriaagyriaagyriaagyriaagyria）l无脑回畸形：多见顶枕叶无脑回畸形：多见顶枕叶lCTCT、MRMR表现表现:脑表面光滑，脑回、沟缺如脑表面光滑，脑回、沟缺如 脑室扩大脑室扩大,侧裂池、蛛网膜侧裂池、蛛网膜 下腔增宽下腔增宽WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0541.htm9.files/slide0541.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:4412 Size:4412 Last Last Modified:Thu,15 Jun 2006 02:08:12 GMTModified:Thu,15 Jun 2006 02:08:12 GMT无脑回畸形（图）无脑回畸形（图）无脑回畸形（图）无脑回畸形（图）WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0551.htm9.files/slide0551.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:9206 Size:9206 Last Last Modified:Thu,15 Jun 2006 02:08:20 GMTModified:Thu,15 Jun 2006 02:08:20 GMT脑裂畸形脑裂畸形脑裂畸形脑裂畸形脑裂畸形脑裂畸形（schizencephalyschizencephalyschizencephalyschizencephalyschizencephalyschizencephaly）l 病理：病理：融合型、非融合型融合型、非融合型l 临床：难治性癫痫，运动障碍，智力低下，发临床：难治性癫痫，运动障碍，智力低下，发 育迟缓育迟缓l 影像学表现：影像学表现：中央前、后回附近表面延伸至室管膜下中央前、后回附近表面延伸至室管膜下 裂隙（裂隙（P-EP-E缝）缝）周围皮质不规则增厚周围皮质不规则增厚WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0555.htm9.files/slide0555.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:4677 Size:4677 Last Last Modified:Thu,15 Jun 2006 02:08:22 GMTModified:Thu,15 Jun 2006 02:08:22 GMT开放型脑裂畸形开放型脑裂畸形开放型脑裂畸形开放型脑裂畸形 (图图图图)WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0558.htm9.files/slide0558.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:9096 Size:9096 Last Last Modified:Thu,15 Jun 2006 02:08:24 GMTModified:Thu,15 Jun 2006 02:08:24 GMT前脑无裂畸形前脑无裂畸形前脑无裂畸形前脑无裂畸形前脑无裂畸形前脑无裂畸形（holoprosencephalyholoprosencephalyholoprosencephalyholoprosencephalyholoprosencephalyholoprosencephaly）l 病因：不清，可能与染色体异常及基因突变有关病因：不清，可能与染色体异常及基因突变有关l 病理：无脑叶、半脑叶、单脑叶型病理：无脑叶、半脑叶、单脑叶型l 影像学表现：影像学表现：无脑叶无脑叶 单脑室，少量脑组织，无中线结构并发单脑室，少量脑组织，无中线结构并发 颅面畸形颅面畸形 半脑叶半脑叶 三脑室中线结构缺如，或有较小大脑镰，三脑室中线结构缺如，或有较小大脑镰，纵裂浅纵裂浅 单脑叶单脑叶 透明隔缺如，半球间裂浅透明隔缺如，半球间裂浅WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0560.htm9.files/slide0560.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:4410 Size:4410 Last Last Modified:Thu,15 Jun 2006 02:08:26 GMTModified:Thu,15 Jun 2006 02:08:26 GMT前脑无裂畸形（图）前脑无裂畸形（图）前脑无裂畸形（图）前脑无裂畸形（图）WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:10.10:15:10.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0561.htm9.files/slide0561.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:5290 Size:5290 Last Last Modified:Thu,15 Jun 2006 02:08:26 GMTModified:Thu,15 Jun 2006 02:08:26 GMT前脑无裂畸形（图）前脑无裂畸形（图）前脑无裂畸形（图）前脑无裂畸形（图）WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:10.10:15:10.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0562.htm9.files/slide0562.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:3840 Size:3840 Last Last Modified:Thu,15 Jun 2006 02:08:28 GMTModified:Thu,15 Jun 2006 02:08:28 GMT前脑无裂畸形（图）前脑无裂畸形（图）前脑无裂畸形（图）前脑无裂畸形（图）WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0521.htm9.files/slide0521.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:10453 Size:10453 Last Last Modified:Thu,15 Jun 2006 02:07:58 GMTModified:Thu,15 Jun 2006 02:07:58 GMT脑膜膨出和脑膜脑膨出脑膜膨出和脑膜脑膨出脑膜膨出和脑膜脑膨出脑膜膨出和脑膜脑膨出l颅内结构经颅骨缺损疝出颅外颅内结构经颅骨缺损疝出颅外l病理病理 显性颅裂畸形显性颅裂畸形型型 脑膜膨出脑膜膨出型型 脑膜脑膨出脑膜脑膨出 型型 脑室膨出脑室膨出型型 囊性脑膜脑膨出囊性脑膜脑膨出l临床临床颅盖组颅盖组 膨出软组织肿块膨出软组织肿块颅底组颅底组 眶、鼻、咽肿块眶、鼻、咽肿块WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0522.htm9.files/slide0522.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:5654 Size:5654 Last Last Modified:Thu,15 Jun 2006 02:08:00 GMTModified:Thu,15 Jun 2006 02:08:00 GMT影像学表现影像学表现影像学表现影像学表现CTCT：颅骨缺损，脑脊液密度膨出疝囊；软组织密：颅骨缺损，脑脊液密度膨出疝囊；软组织密 度疝囊度疝囊MRMR：脑脊液信号膨出物、脑实质信号膨出物，颅：脑脊液信号膨出物、脑实质信号膨出物，颅 内脑室牵拉、变形、扩张内脑室牵拉、变形、扩张WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0526.htm9.files/slide0526.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:4407 Size:4407 Last Last Modified:Thu,15 Jun 2006 02:08:04 GMTModified:Thu,15 Jun 2006 02:08:04 GMT枕部脑膜脑膨出（图）枕部脑膜脑膨出（图）枕部脑膜脑膨出（图）枕部脑膜脑膨出（图）WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 WebZIP 7.0.3.1030 offline browser(Unregistered)on 09/13/07 10:15:09.10:15:09.Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-Address:http:/202.113.53.133/jpk/contents/g/yxx/doc/2-9.files/slide0527.htm9.files/slide0527.htmTitle:PowerPoint Presentation Title:PowerPoint Presentation Size:9793 Size:9793 Last Last Modified:Thu,15 Jun 2006 02:08:04 GMTModified:Thu,15 J