Heit Jeremy J, Iv Michael, Wintermark Max
Stanford University Hospital, Department of Radiology, Neuroimaging and Neurointervention Division, CA, USA.
J Stroke. 2017 Jan;19(1):11-27. doi: 10.5853/jos.2016.00563. Epub 2016 Dec 12.
Intracranial hemorrhage is common and is caused by diverse pathology, including trauma, hypertension, cerebral amyloid angiopathy, hemorrhagic conversion of ischemic infarction, cerebral aneurysms, cerebral arteriovenous malformations, dural arteriovenous fistula, vasculitis, and venous sinus thrombosis, among other causes. Neuroimaging is essential for the treating physician to identify the cause of hemorrhage and to understand the location and severity of hemorrhage, the risk of impending cerebral injury, and to guide often emergent patient treatment. We review CT and MRI evaluation of intracranial hemorrhage with the goal of providing a broad overview of the diverse causes and varied appearances of intracranial hemorrhage.
颅内出血很常见,由多种病理原因引起,包括创伤、高血压、脑淀粉样血管病、缺血性梗死的出血性转化、脑动脉瘤、脑动静脉畸形、硬脑膜动静脉瘘、血管炎和静脉窦血栓形成等其他原因。神经影像学对于治疗医生识别出血原因、了解出血的位置和严重程度、即将发生脑损伤的风险以及指导通常紧急的患者治疗至关重要。我们回顾颅内出血的CT和MRI评估,目的是全面概述颅内出血的各种原因和不同表现。