Mihale J, Bartko D
I. neurologická klinika FN-LF UK, Bratislava.
Cesk Neurol Neurochir. 1990 Jan;53(1):39-42.
The aim of the investigation was to reveal the existence of venous angiomas of the brain by serioangiography in selected neurological diseases and to test the possible connection between the angiographic finding of a VA and neurological symptomatology. The material was formed by 386 serioangiograms in patients with subarachnoid haemorrhage, intracerebral haemorrhage, focal epilepsy and unilateral headache. It was revealed that from the total number of mentioned diagnoses there were 18 venous angiomas, i.e. 4.66%. Intracerebral haemorrhage and unilateral headache were most frequent (7.3% and 9%). No difference was found between the right and left hemisphere and between different brain areas. Cerebral angiography remains an important method in the diagnosis of venous angiomas of the brain, provided a satisfactory programme and high quality material are used. Examination by computed tomography without a contrast is of little diagnostic value, the use of contrast in computer tomography can improve the diagnosis.
本研究的目的是通过对选定的神经系统疾病患者进行连续血管造影,揭示脑静脉血管瘤的存在,并检验静脉血管瘤的血管造影表现与神经症状学之间的可能联系。研究材料来自386例蛛网膜下腔出血、脑出血、局灶性癫痫和单侧头痛患者的连续血管造影。结果显示,在上述所有诊断病例中,共有18例静脉血管瘤,即占4.66%。脑出血和单侧头痛最为常见(分别为7.3%和9%)。左右半球以及不同脑区之间未发现差异。如果采用令人满意的方案并使用高质量材料,脑血管造影仍是诊断脑静脉血管瘤的重要方法。无造影剂的计算机断层扫描检查诊断价值不大,计算机断层扫描中使用造影剂可提高诊断效果。