Lanni Giuseppe, Catalucci Alessia, Conti Laura, Di Sibio Alessandra, Paonessa Amalia, Gallucci Massimo
Department of Neuroradiology, S.Salvatore Hospital, University of L'Aquila, Via Vetoio, Coppito, 67100 L'Aquila, Italy.
Stroke Res Treat. 2011;2011:172168. doi: 10.4061/2011/172168. Epub 2011 Apr 19.
This paper focuses on radiological approach in pediatric stroke including both ischemic stroke (Arterial Ischemic Stroke and Cerebral Sinovenous Thrombosis) and hemorrhagic stroke. Etiopathology and main clinical findings are examined as well. Magnetic Resonance Imaging could be considered as the first-choice diagnostic exam, offering a complete diagnostic set of information both in the discrimination between ischemic/hemorrhagic stroke and in the identification of underlying causes. In addition, Magnetic Resonance vascular techniques supply further information about cerebral arterial and venous circulation. Computed Tomography, for its limits and radiation exposure, should be used only when Magnetic Resonance is not available and on unstable patients.
本文重点关注小儿卒中的放射学检查方法,包括缺血性卒中(动脉缺血性卒中和脑静脉窦血栓形成)和出血性卒中。同时也探讨了病因病理及主要临床发现。磁共振成像(MRI)可被视为首选诊断检查,它能提供一套完整的诊断信息,有助于鉴别缺血性/出血性卒中以及识别潜在病因。此外,磁共振血管技术可提供有关脑动脉和静脉循环的更多信息。计算机断层扫描(CT)由于其局限性和辐射暴露问题,仅应在无法进行磁共振成像检查以及患者病情不稳定时使用。