Diagnosis of cerebral lobe hemorrhage associated with cerebral amyloid angiopathy according to its clinical characteristics and GRE/SWI
10.3969/j.issn.1009-0126.2017.12.020
- VernacularTitle:临床特征和磁敏感分析脑淀粉样血管病相关脑叶出血
- Author:
xia Hong FU
1
;
Chen WANG
Author Information
1. 内蒙古自治区人民医院神经内科
- Keywords:
cerebral amyloid angiopathy;
cerebral hemorrhage;
magnetic resonance imaging;
hypertension;
diabetes mellitus;
platelet aggregation inhibitors
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2017;19(12):1306-1308
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the diagnosis of cerebral lobe hemorrhage (CLH) associated with cerebral amyloid angiopathy (CAA) according to its clinical characteristics and GRE/SWI.Methods Thirty-four CAA-related CLH patients admitted to Inner Mongolia People's Hospital for GRE/SWI from 2013-04-15 to 2015-07-19 were included in this study.Their demographic data,clinical data (age,gender,past history of hypertension,diabetes mellitus,use of antiplatelet drugs) and clinical manifestations were recorded.Results Of the 34 patients,5 were diagnosed with progressive dementia and hypomnesis,4 were diagnosed with epilepsy,7 were diagnosed with past cerebral hemorrhage,18 were diagnosed with hypertension.SWI showed that the CLH was round and oval in shape and was located in parietal lobe,occipital lobe,frontal lobe and temporal lobe respectively with single lobe hemorrhage occurred in 7 patients and multiple lobe hemorrhage occurred in 27 patients.Conclusion The clinical characteristics of CAA-related CLH are highly heterogeneous.SWI plays an important role in diagnosis of CLH and is thus worthy of popularizing its clinical application.
