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中华脑血管病杂志(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 193 -196. doi: 10.11817/j.issn.1673-9248.2022.03.009

临床病例研究

脑血管介入诊疗并发造影剂脑病二例报告
李超越1, 沈胜利2, 文龙2, 吴峣2, 张扬2, 张家湧2, 段鸿洲2,(), 李良2   
  1. 1. 100034 北京大学第一医院神经外科;166200 黑龙江大庆,杜尔伯特蒙古族自治县人民医院神经外科
    2. 100034 北京大学第一医院神经外科
  • 收稿日期:2022-03-06 出版日期:2022-06-01
  • 通信作者: 段鸿洲
  • 基金资助:
    黎介寿肠道屏障研究专项基金(LJS-2020B3); 北京大学第一医院交叉临床研究专项资助项目; 北京大学第一医院青年临床研究专项基金(2019CR02)

Contrast-induced encephalopathy following interventional therapy of cerebrovascular disease: two case reports

Chaoyue Li1, Shenglie Shen2, Long Wen2   

  • Received:2022-03-06 Published:2022-06-01
引用本文:

李超越, 沈胜利, 文龙, 吴峣, 张扬, 张家湧, 段鸿洲, 李良. 脑血管介入诊疗并发造影剂脑病二例报告[J]. 中华脑血管病杂志(电子版), 2022, 16(03): 193-196.

Chaoyue Li, Shenglie Shen, Long Wen. Contrast-induced encephalopathy following interventional therapy of cerebrovascular disease: two case reports[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2022, 16(03): 193-196.

图1 病例1患者治疗前后的影像学检查资料。图a术前CT灌注成像检查示右侧额顶颞叶皮层脑血流灌注较左侧轻微减低;图b血管造影可见右侧大脑中动脉M1段起始部重度狭窄;图c示支架植入术后右侧大脑中动脉M1段起始部通畅,狭窄程度较术前明显减轻;图d术后CT可见右侧大脑半球脑组织明显肿胀;图e术后CT血管造影检查显示右侧大脑中动脉支架术后支架内血管通畅;图f术后CT灌注成像检查示右侧颞枕叶脑灌注较左侧略低;图g颅脑MRI检查显示右侧额顶叶皮层弥散加权成像信号较左侧略高,未见新发出血、梗死等;图h颅脑CT显示治疗后右侧大脑半球脑水肿消退
图2 病例2患者相关影像学检查资料。图a造影术后颅脑CT检查显示右侧额顶颞叶脑实质较左侧明显肿胀,脑沟、脑回消失;图b CT血管造影检查显示左侧颈内动脉起始部重度狭窄;图c为CT灌注成像显示双侧大脑半球灌注基本对称;图d颅脑CT检查显示右侧额顶颞叶脑实质肿胀较前减轻,脑沟恢复,脑实质内未见明显出血、梗死
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