Fujioka M, Okuchi K, Miyamoto S, Sakaki T, Hiramatsu K, Tominaga M, Kamada Y, Iwasaki S
Department of Emergency and Critical Care Medicine, Nara Medical University, Japan.
Neuroradiology. 1994 Nov;36(8):605-7. doi: 10.1007/BF00600418.
We report specific changes bilaterally in the basal ganglia and thalamus following reperfusion after complete cerebral ischaemia. A 69-year-old man, resuscitated after cardiac arrest, showed symmetrical low-density lesions in the head of the caudate nucleus and lentiform nucleus on CT. MRI revealed methaemoglobin derived from minor haemorrhage in the basal ganglia and thalamus, not evident on CT. We suggest that this haemorrhage results from diapedesis of red blood cells through the damaged capillary endothelium following reperfusion.
我们报告了全脑缺血再灌注后基底神经节和丘脑双侧的特定变化。一名69岁男性，心脏骤停后复苏，CT显示尾状核头部和豆状核有对称的低密度病变。MRI显示基底神经节和丘脑有少量出血衍生的高铁血红蛋白，CT上不明显。我们认为这种出血是由于再灌注后红细胞通过受损的毛细血管内皮渗出所致。
