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大脑凸面蛛网膜下腔出血:多种病因及诊断性影像学的作用

Cerebral convexity subarachnoid hemorrhage: various causes and role of diagnostic imaging.

作者信息

Mangla Rajiv, Drumsta Douglas, Alamst Jeevak, Mangla Manisha, Potchen Michael

机构信息

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, Box 648, Rochester, NY, 14642, USA,

出版信息

Emerg Radiol. 2015 Apr;22(2):181-95. doi: 10.1007/s10140-014-1251-z. Epub 2014 Jul 8.

Abstract

Computed tomography (CT) and magnetic resonance imaging (MRI) have made it relatively easy to diagnose cortical convexity subarachnoid hemorrhages (cSAH); however, the evaluation of these hemorrhages should not be limited to size and location. It is imperative that possible underlying etiologies be identified so that clinicians may properly treat and prevent this potentially catastrophic event. The goal of this article is to review etiologies of cortical convexity subarachnoid hemorrhages, from common causes such as cerebral amyloid angiopathy to less common causes such as reversible cerebral vasoconstriction syndrome and moyamoya. The specific imaging findings of each etiology that may be responsible for these hemorrhages are described in this article so that the radiologist may properly aid in the diagnosis of the underlying cause.

摘要

计算机断层扫描(CT)和磁共振成像(MRI)使诊断皮质凸面蛛网膜下腔出血(cSAH)相对容易;然而,对这些出血的评估不应局限于大小和位置。必须确定可能的潜在病因,以便临床医生能够正确治疗并预防这一潜在的灾难性事件。本文的目的是回顾皮质凸面蛛网膜下腔出血的病因,从常见病因如脑淀粉样血管病到不太常见的病因如可逆性脑血管收缩综合征和烟雾病。本文描述了可能导致这些出血的每种病因的具体影像学表现,以便放射科医生能够正确协助诊断潜在病因。

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