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FLAIR血管高信号征对颈动脉或大脑中动脉闭塞患者梗死形态的评估

张卫 朱幼玲 朱双根 翟登月 张文

安徽医科大学学报Issue(3):381-384,4.
安徽医科大学学报Issue(3):381-384,4.

FLAIR血管高信号征对颈动脉或大脑中动脉闭塞患者梗死形态的评估

FLAIR vascular hyperintensity and lesion infarct morphology in carotid artery or middle cerebral artery occlusion

张卫 1朱幼玲 1朱双根 1翟登月 1张文1

作者信息

  • 1. 安徽医科大学第三附属医院 合肥市第一人民医院 神经内科,合肥 230061
  • 折叠

摘要

Abstract

Objective To evaluate the association of FVH with infarct morphology in patients with symptomatic in-ternal carotid artery ( ICA) or middle cerebral artery ( MCA) occlusion. Methods MR images of 102 consecutive patients with acute stroke due to symptomatic ICA or MCA occlusion were reviewed. Vessel occlusions were identi-fied by MRA time of flight or contrast-enhanced MR angiography. Diffusion deficit volumes and infarct morphology on admission were assessed. The presence and number of FVH were evaluated according to Olindo’s method, and associations with MR morphology of infarction, as well as with stroke etiology were analyzed. Results The patients of FVH≥4 were 62(60.8%) of the 102 enrolled patients. Compared with the patients of FVH<4,the former were significantly associated with infarct morphology(P<0.01). The patients with distal FVH were most common perfo-rator and border-zone infarcts, and the patients without distal FVH were most common large territorial infarcts. There was statistical significance between the two groups ( P<0.01 ) . Conclusion The numbers and locations of FVH may be a predictive imaging marker for cerebral infarct morphology in symptomatic ICA or MCA occlusion.

关键词

FLAIR血管高信号征/颈动脉或大脑中动脉闭塞/梗死形态

Key words

FLAIR vascular hyperintensity/carotid artery or middle cerebral artery occlusion/infarct morphology

分类

医药卫生

引用本文复制引用

张卫,朱幼玲,朱双根,翟登月,张文..FLAIR血管高信号征对颈动脉或大脑中动脉闭塞患者梗死形态的评估[J].安徽医科大学学报,2014,(3):381-384,4.

基金项目

安徽省教育厅合肥地区数字化脑卒中注册研究(编号:KJ2013Z119) (编号:KJ2013Z119)

合肥市第三周期医学重点学科[编号:2010(科)-09] (科)

校科学研究资助项目(编号:2013xkj048) (编号:2013xkj048)

安徽医科大学学报

OA北大核心CSTPCD

1000-1492

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