摘要
目的比较颅内血管淀粉样变与高血压引起脑出血的临床、放射学和诊断的特点,对脑血管淀粉样变与高血压性脑出血的临床特征进行研究。方法对41例急性颅内血管淀粉样变脑出血病人的临床资料(包括年龄、血肿部位、形状、大小、是否伴发蛛网膜下腔出血和脑室出血等)、放射学诊断和病理学结果等因素进行分析,并与42例高血压性脑出血病人进行对照,行统计学分析。结果颅内血管淀粉样变出血组平均年龄明显高于高血压脑出血组,其出血主要位于脑叶的表面,呈分叶状或不规则状,易产生蛛网膜下腔出血和脑室出血,具有多发性和容易复发的特点。结论颅内血管淀粉样变出血在临床和影像学上具有一定的特征,但确诊需要病理学的诊断。
Objective The purpose of this study was to differentiate between cerebral amyloid angiopathy (CAA) and hypertension (HTN) based on hemorrhage pattern interpretation. Methods A retrospective analysis of 83 patients who were admitted to our service with an acute Intracerebral hemorrhage (ICH) . 41 patients with a histological proven diagnosis of cerebral amyloid angiography and 42 patients with a clear history of hypertension were investigated . Results Patients with a CAA-related ICH were significantly older than patients with a HTN-related ICH. Typical features of CAA-related ICH included lobar distribution affecting mainly the lobar superficial areas, lobulated appearance, rupture into the subarachnoid space, and secondary IVH from the lobar hemorrhage. Multiplicity of hemorrhage and repeated episodes also strongly suggest the diagnosis of CAA. Conclusions There are certain fertures in CAA on CT or MRI and in clinical. But the definite diagnosis of CAA -related hemorrhage requires a histopathological confirmation .
出处
《中华神经外科杂志》
CSCD
北大核心
2005年第4期236-239,共4页
Chinese Journal of Neurosurgery
