Scharf J, Bräuherr E, Forsting M, Sartor K
Department of Neuroradiology, University of Heidelberg Medical School, Germany.
Neuroradiology. 1994 Oct;36(7):504-8. doi: 10.1007/BF00593508.
Our purpose was to determine the frequency and significance of haemorrhagic lacunes (HL) on MRI in patients with a history of, or at risk for intracerebral haemorrhage. We examined 72 patients with old spontaneous intracerebral haemorrhage (ICH) using T1- and T2-weighted spin-echo sequences. MRI studies of 137 consecutive patients with cerebrovascular disease but no known ICH were also reviewed. Both groups showed about the same degree of age-related white matter change and nonhaemorrhagic lacunar infarcts, whereas the ICH group had a higher frequency of HL (12/72 patients) than the non-ICH group (6/131 patients, p < 0.01). These results correlate well with reported pathological findings. We conclude that haemorrhagic lacunes found on MRI studies of patients with cerebrovascular disease may suggest a higher risk of intracerebral haemorrhage.
我们的目的是确定有脑出血病史或有脑出血风险的患者中，MRI上出血性腔隙（HL）的频率及意义。我们使用T1加权和T2加权自旋回波序列检查了72例陈旧性自发性脑出血（ICH）患者。还回顾了137例连续的脑血管疾病患者但无已知ICH的MRI研究。两组显示出与年龄相关的白质改变和非出血性腔隙性梗死程度大致相同，而ICH组HL的频率（12/72例患者）高于非ICH组（6/131例患者，p<0.01）。这些结果与已报道病理结果高度相关。我们得出结论，脑血管疾病患者MRI研究中发现的出血性腔隙可能提示脑出血风险较高。
