Linn J, Herms J, Dichgans M, Brückmann H, Fesl G, Freilinger T, Wiesmann M
Department of Neuroradiology, University of Munich, Munich, Germany.
AJNR Am J Neuroradiol. 2008 Jan;29(1):184-6. doi: 10.3174/ajnr.A0783. Epub 2007 Oct 18.
Cerebral amyloid angiopathy (CAA) is an important cause of intracerebral hemorrhage. Its definite diagnosis still requires histopathologic demonstration of vascular amyloid. Thus, further improvement of noninvasive imaging methods would be desirable. Here we present 3 patients with histologically proved CAA, in which superficial cortical hemosiderosis and subarachnoid hemosiderosis were present in T2*-weighted MR images. Thus, we propose that these 2 findings might be valuable as noninvasive diagnostic markers for CAA.
脑淀粉样血管病(CAA)是脑出血的一个重要原因。其明确诊断仍需要血管淀粉样蛋白的组织病理学证实。因此,无创成像方法的进一步改进将是可取的。在此,我们报告3例经组织学证实为CAA的患者,其T2*加权磁共振图像中存在皮质浅表铁沉积和蛛网膜下腔铁沉积。因此,我们认为这两个发现可能作为CAA的无创诊断标志物具有重要价值。