Singfer Uri, Baert Edward, Defreyne Luc
Department of Vascular and Interventional Radiology, Ghent University Hospital, BE.
Department of Neurosurgery, Ghent University Hospital, BE.
J Belg Soc Radiol. 2023 Aug 3;107(1):55. doi: 10.5334/jbsr.3247. eCollection 2023.
Cerebral proliferative angiopathy (CPA) is a rare cerebrovascular disease comprised of a diffuse network of blood vessels, often spread over several lobes. Due to the presence of normal brain tissue within the malformation, complete resection is not desirable. Several imaging characteristics help to distinguish CPA from brain arteriovenous malformations. We report the case of a patient diagnosed with CPA five years after a spontaneous intraventricular hemorrhage and an initial negative angiogram.
The radiologist should be able to differentiate CPA from brain AVM to prevent potentially harmful treatment.
脑增殖性血管病(CPA)是一种罕见的脑血管疾病,由弥漫性血管网络组成,常累及多个脑叶。由于畸形内存在正常脑组织,因此不适合进行完全切除。几种影像学特征有助于将CPA与脑动静脉畸形区分开来。我们报告一例患者,在自发性脑室内出血及初次血管造影阴性五年后被诊断为CPA。
放射科医生应能够将CPA与脑动静脉畸形区分开来,以防止可能的有害治疗。