非侵入性成像技术在颅内动脉瘤性蛛网膜下腔出血的诊断和治疗中的应用。

Noninvasive imaging techniques in the diagnosis and management of aneurysmal subarachnoid hemorrhage.

机构信息

Division of Neurosciences Critical Care, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA.

出版信息

Neurosurg Clin N Am. 2010 Apr;21(2):305-23. doi: 10.1016/j.nec.2009.10.005.

DOI:10.1016/j.nec.2009.10.005

PMID:20380972

Abstract

Aneurysmal subarachnoid hemorrhage (aSAH) is a devastating condition, requiring prompt diagnosis and therapeutic intervention as well as close monitoring for the development of complications including vasospasm (VS). Although digital subtraction angiography is still considered the gold standard for the diagnosis of aSAH (and vasospasm), new and less invasive modalities are emerging including ultrasound, CT, CT angiography and CT perfusion, and MR imaging. The current evidence for the use of these newer modalities is described for the diagnosis of aSAH and the management of its sequelae including VS.

摘要

颅内动脉瘤性蛛网膜下腔出血（aSAH）是一种破坏性疾病，需要及时诊断和治疗干预，以及密切监测并发症的发生，包括血管痉挛（VS）。尽管数字减影血管造影仍然被认为是 aSAH（和血管痉挛）的金标准诊断方法，但新的、创伤更小的方法正在出现，包括超声、CT、CT 血管造影和 CT 灌注以及磁共振成像。本文描述了这些新方法在诊断 aSAH 及其并发症（包括 VS）的管理中的应用。