Zakhari Nader, Castillo Mauricio, Torres Carlos
Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada; Department of Medical Imaging, The Ottawa Hospital, 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9, Canada.
Division of Neuroradiology, Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, Room 3326 Old Infirmary Building, Manning Drive, Chapel Hill, NC 27599-7510, USA.
Neuroimaging Clin N Am. 2016 Feb;26(1):147-63. doi: 10.1016/j.nic.2015.09.013. Epub 2015 Oct 17.
The heart and the carotid arteries are the most common sites of origin of embolic disease to the brain. Clots arising from these locations are the most common types of brain emboli. Less common cerebral emboli include air, fat, calcium, infected vegetations, and tumor cells as well as emboli originating in the venous system. Although infarcts can be the final result of any type of embolism, described herein are the ancillary and sometimes unique imaging features of less common types of cerebral emboli that may allow for a specific diagnosis to be made or at least suspected in many patients.
心脏和颈动脉是脑部栓塞性疾病最常见的起源部位。源自这些部位的血栓是最常见的脑栓塞类型。较不常见的脑栓塞包括空气、脂肪、钙、感染性赘生物、肿瘤细胞以及源自静脉系统的栓子。尽管梗死可能是任何类型栓塞的最终结果,但本文描述的是较不常见类型脑栓塞的辅助性且有时独特的影像学特征,这些特征可能有助于对许多患者做出特定诊断或至少产生怀疑。