Belniak-Legieć E, Kamiński M L
Katedra i Klinika Neurologii Akademii Medycznej w Lublinie.
Ann Univ Mariae Curie Sklodowska Med. 1996;51:89-95.
We evaluated 84 patients with SAH to compare the clinical usefulness of CT and cerebral angiography in diagnostics of intracranial vascular anomalies as a source of SAH. Angiography was more effective in detection of aneurysms (in 67.9% cases), also multiple aneurysms. Both methods showed angiomas equally well (in 100%). The agreement in the aneurysms localisation was only 17%. The effectiveness of subtentorial aneurysms detection was poor in both methods (especially in CT). The most common localisation of aneurysms were: the middle cerebral artery, communicating anterior artery, internal carotid artery, anterior artery.
我们评估了84例蛛网膜下腔出血(SAH)患者,以比较CT和脑血管造影在诊断作为SAH病因的颅内血管异常中的临床实用性。血管造影在检测动脉瘤(67.9%的病例)方面更有效,包括多发性动脉瘤。两种方法在显示血管瘤方面效果相同(100%)。动脉瘤定位的一致性仅为17%。两种方法在检测幕下动脉瘤方面效果都很差(尤其是CT)。动脉瘤最常见的定位是:大脑中动脉、前交通动脉、颈内动脉、前动脉。