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28例脑淀粉样血管病相关性脑出血的影像学及临床特点分析 被引量：4

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摘要 目的 探讨脑淀粉样血管病相关性脑出血（CAAHs）的影像学表现、临床特点.方法 回顾性总结分析符合Boston诊断标准的28例CAAHs患者的临床特点及影像学表现.结果 28例患者发病年龄56 ～ 87（73.7±8.9）岁,发病高峰年龄70 ～ 75岁;男女之比为1：1.33.最主要临床表现为头痛、呕吐（11例）,其次为偏瘫（10例）、意识障碍（9例）、偏身感觉障碍（8例）、偏盲（6例）.单发出血灶3例（枕叶、顶叶、颞叶各1例）;二叶受累18例（顶枕叶8例,颞枕叶4例,颞顶叶4例,额颞叶2例）;三叶（顶、枕、颞）同时受累7例.18例头颅CT示脑白质低密度改变,13例头颅MRI T2加权像示脑白质高信号.结论 CAAHs是老年脑出血患者较常见原因,多部位、复发性脑叶出血是其影像学特点,脑白质损伤CT上低密度改变和MRI T2加权像上高信号较常见.
作者 黄宝和 邵春香 刘玉玲
机构地区 河南省焦作市焦煤集团中央医院神经内科一区
出处 《中国医师进修杂志》 2014年第10期55-56,共2页 Chinese Journal of Postgraduates of Medicine
关键词 脑淀粉样血管病 脑出血
分类号 R743.3 [医药卫生—神经病学与精神病学]
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参考文献7

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同被引文献26

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中国医师进修杂志
2014年 第10期

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