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中华脑血管病杂志(电子版) ›› 2020, Vol. 14 ›› Issue (05) : 303 -305. doi: 10.11817/j.issn.1673-9248.2020.05.011

所属专题: 经典病例 文献

病例报告

多种影像学表现的脑小血管病临床报道并文献分析一例
陈浩1, RazaHafiz Khuram2, 宋文静2, 姜姗姗2, 徐传英2, 张沈阳2, 王钰乔2, 鲍磊2, 张作慧2, 崔桂云2,()   
  1. 1. 221002 徐州,徐州医科大学附属医院神经内科;221002 徐州,徐州医科大学附属医院经颅多普勒室
    2. 221002 徐州,徐州医科大学附属医院神经内科
  • 收稿日期:2020-06-17 出版日期:2020-10-01
  • 通信作者: 崔桂云
  • 基金资助:
    江苏省自然科学基金(BK20180991)
  • Received:2020-06-17 Published:2020-10-01
引用本文:

陈浩, RazaHafiz Khuram, 宋文静, 姜姗姗, 徐传英, 张沈阳, 王钰乔, 鲍磊, 张作慧, 崔桂云. 多种影像学表现的脑小血管病临床报道并文献分析一例[J]. 中华脑血管病杂志(电子版), 2020, 14(05): 303-305.

图1~5 脑小血管病患者典型影像学表现 图1a~1d头颅MRI示新近皮质下小的梗死:基底节区出现等T1、长T2和FLAIR及弥散加权成像(DWI)高信号腔隙样病灶;图2a~2d头颅MRI示血管源性腔隙:额叶皮层下等长T1、长T2、FLAIR高信号及DWI等信号病灶;图3a~3d头颅MRI示血管源性白质高信号:侧脑室周围示长T1、长T2、FLAIR高信号及DWI等信号病灶;图4a~4d头颅MRI示扩大的血管周围间隙:侧脑室周围示长T1、长T2、FLAIR低信号及DWI低信号病灶;图5a示脑微出血:SWI示多发的点状低信号(箭头);图5b、5c示脑萎缩:脑池、脑沟增宽(箭头);图5d为头颈CT血管造影示轻度动脉粥样硬化
1
Wardlaw JM, Smith C, Dichgans M. Mechanisms of sporadic cerebral small vessel disease: Insights from neuroimaging [J]. Lancet Neurol, 2013, 12(5): 483-497.
2
陆正齐, 陈小东. 重视脑小血管病影像学标志物的临床价值 [J]. 中华医学杂志, 2019, 99(25): 1928-1930.
3
Moran C, Phan TG, Srikanth VK. Cerebral small vessel disease: A review of clinical, radiological, and histopathological phenotypes [J]. Int J Stroke, 2012, 7(1): 36-46.
4
Blanco-Rojas L, Arboix A, Canovas D, et al. Cognitive profile in patients with a first-ever lacunar infarct with and without silent lacunes: a comparative study [J]. BMC Neurol, 2013, 13: 203.
5
Kynast J, Lampe L, Luck T, et al. White matter hyperintensities associated with small vessel disease impair social cognition beside attention and memory [J]. J Cereb Blood Flow Metab, 2018, 38(6): 996-1009.
6
Lampe L, Kharabian-Masouleh S, Kynast J, et al. Lesion location matters: The relationships between white matter hyperintensities on cognition in the healthy elderly [J]. J Cereb Blood Flow Metab, 2019, 39(1): 36-43.
7
van den Berg E, Geerlings MI, Biessels GJ, et al. White matter hyperintensities and cognition in mild cognitive impairment and alzheimer’s disease: A domain-specific meta-analysis [J]. J Alzheimers Dis, 2018, 63(2): 515-527.
8
Ahmad M, Narayanasamy S, Siddiqui MA. Giant perivascular spaces: utility of MR in differentiation from other cystic lesions of the brain [J]. JBR-BTR, 2014, 97(6): 364-365.
9
Wu Y, Chen T. An up-to-date review on cerebral microbleeds [J]. J Stroke Cerebrovasc Dis, 2016, 25(6): 1301-1306.
10
Palma JA, Zubieta JL, Dominguez PD, et al. Pneumocephalus mimicking cerebral cavernous malformations in mr susceptibility-weighted imaging [J]. AJNR Am J Neuroradiol, 2009, 30(6): e83; author reply e84.
11
Aribisala BS, Valdes Hernandez MC, Royle NA, et al. Brain atrophy associations with white matter lesions in the ageing brain: The lothian birth cohort 1936 [J]. Eur Radiol, 2013, 23(4): 1084-1092.
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