自发性蛛网膜下腔出血患者的正常脑动脉造影

Normal cerebral arteriography in patients with spontaneous subarachnoid hemorrhage.

作者信息

West H H, Mani R L, Eisenberg R L, Tuerk K, Stucker T B

出版信息

Neurology. 1977 Jun;27(6):592-4. doi: 10.1212/wnl.27.6.592.

DOI:10.1212/wnl.27.6.592

Abstract

Previous studies have reported that 18 to 27% of patients with spontaneous subarachnoid hemorrhage have normal cerebral arteriograms. Our series of 220 patients from three hospitals demonstrated normal arteriograms in only 16 (7%). Recent improvements in neuroradiologic techniques, such as femoral catheterization, magnification angiography, oblique and basal projections, and subtraction most probably contribute to the improved yield. Nonvisualization of a cerebral aneurysm probably represents the most common explanation for a normal cerebral arteriogram.

摘要

以往的研究报道，18%至27%的自发性蛛网膜下腔出血患者脑血管造影正常。我们来自三家医院的220例患者系列中，只有16例（7%）脑血管造影正常。神经放射学技术的最新进展，如股动脉插管、放大血管造影、斜位和基底位投照以及减影技术，很可能有助于提高检出率。脑动脉瘤未显影可能是脑血管造影正常最常见的原因。