摘要
尽管脑CT扫描是诊断急性期脑蛛网膜下腔出血 (SAH)比较敏感和特异的神经影像学方法 ,CT平扫偶尔也会显示出脑蛛网膜下腔呈“血性”的高密度值 ,但实际上并无SAH ,即假性蛛网膜下腔出血 (pseudo-SAH)现象。本文就pseudo-SAH的概念、常见病因、临床表现、脑CT扫描所见、鉴别诊断以及预后等相关问题加以综述。旨在提高临床医生认识pseudo-SAH的放射学特点 ,以避免不必要的侵袭性检查 (如脑血管造影 )和延误最佳的治疗时机。
出处
《中国全科医学》
CAS
CSCD
2005年第2期155-156,共2页
Chinese General Practice
参考文献10
-
1Eckel T, Breiter SN, Lee HM. Subarachnoid contrast enhancement after spinal angiography mimicking diffuse subarachnoid hemorrhage[J]. AJR, 1998, 170:503-505.
-
2Mendelsohn D, Moss ML, Chason D, et al.Acute purulent leptomeningitis mimicking subarachnoid hemorrhage on CT [ J]. J Comput Assist Tomogr, 1994, 18: 126-128.
-
3Osborn AG, Anderson RE, Wing DS. The false falx sign [J]. Radiology, 1980, 134:421 - 425.
-
4Spiegel M, Fox A J, Vinuela F, et al. Increased density of tentorium and falx: a false positive CT sign of subarachnoid hemorrhage[J]. Can Assoc Radiol J, 1986, 37:243- 247.
-
5al - Yamany M, Deck J, Bernstein M. Psudo-subarachnoid hemorrhage: a rare meuroimaging pitfall [J]. Can J Neurol Sci, 1999,26 : 57 - 59.
-
6Chute DJ, Smialek JE. Pseudo - subarachnoid hemorrhage of the head diagnosed by computerized axial tomography: a postmortem study of ten medical examiner cases [ J]. J Forensic Sci, 2002, 47 : 360 - 365.
-
7Given CA, Burdette JH, Elster AD, et al.Pseudo - subarachnoid hemorrhage: a potential imaging pitfall associated with diffuse cerebral edema [J]. AJNR, 2003, 24: 254-256.
-
8Silberstein M. Diagnosis of pseudosubarachnoid hemorrhage [ J ]. AJNR, 2003, 24:1492.
-
9Opeskin K, Silberstein M. False - positive diagnosis of subarachnoid haemorrhage on computed tomography scan [ J ]. J Clin Neumsci,1998, 5: 382-386.
-
10Rabinstein AA, Pittock SJ, Miller GM, etal. Pseudosubarachnoid haemorrhage in subdural haematoma [ J ]. J Neurol Neurosurg Psychiatry, 2003, 74:1131-1132.
同被引文献5
-
1Adnan AGHA.Mohammad AL-HAKAMI-A Case report of Pseudo-Subarachnoid Hemorrhage.A Journal of Clinical Medicine,2011,6:210-212.
-
2Splegel SM,Fox AT,Vinaela F,et al.Increased density of tentorium and flax:a false positive CT sign of subarachnoid hemorrhage.J Can Assoc Radiol,1986,37:243-247.
-
3Misra V,Hoque R,Gonzalez-Toledo E,et al.Pseudo-subarachnoid hemorrhage in a patient with acute cerebellar infarction.Neurological Research,2008,30:813-815.
-
4Given CA,Burdcttc JH,Williams DW.Pseudo-Subarachnoid Hemorrhage:A potential imagingpitfall associated with diffuse cerebral edema.AJNR Am J Neuroradial,2003,24:254-256.
-
5卢亮,厉伟民.氯沙坦和苯那普利逆转原发性高血压左心室肥厚效应比较[J].中国误诊学杂志,2003,3(4):551-552. 被引量：12
-
1刘合玉.急性脑卒中后早期癫痫发作临床观察[J].河南实用神经疾病杂志,1999,2(1):13-15. 被引量：24
-
2何大艳,杨玉红,张志民.以脑蛛网膜下腔出血为首诊的脊髓血管畸形二例[J].中国基层医药,2012,19(21):3360-3360. 被引量：1
-
3曾捷.脑脊液置换加鞘内注射地塞米松治疗老年人(65岁以上)脑蛛网膜下腔出血疗效观察[J].海南医学,2007,18(5):95-96.
-
4孟祥靖,郭建,李相坤.自发性蛛网膜下腔出血[J].山东医药,2010,50(2):108-108. 被引量：1
-
5吕智尉,吕有灵,叶兴贵,李光明.脑蛛网膜下腔出血血浆中NO和ET含量变化及临床意义[J].上海医学,2000,23(11):658-662. 被引量：1
-
6常舰东,孟丽霞,郭艳芹.经颅多普勒对脑蛛网膜下腔出血血管痉挛的监测[J].牡丹江医学院学报,2001,22(2):49-50.
-
7张静,张哲成.假性蛛网膜下腔出血研究进展[J].中华脑血管病杂志（电子版）,2012,6(6):38-40. 被引量：2
-
8王小冬,张均.动眼神经麻痹为首发症状的糖尿病[J].中风与神经疾病杂志,1995,12(6):339-340. 被引量：16
-
9张云,吴士文.热射病的神经影像学研究进展[J].中华灾害救援医学,2016,4(4):231-234. 被引量：4
-
10李翠莲,石秋艳,段玉香,于颖.慢性酒精中毒脑损害[J].实用心脑肺血管病杂志,2010,18(2):197-198. 被引量：8
