脑淀粉样血管病相关性脑出血的临床表现及影像学特征

Research of Clinical Manifestations and Imaging Features on Cerebral Amyloid Angiopathy Associated Cerebral Hemorrhage

脑淀粉样血管病(Cerebralamyloidangiopathy,CAA)是淀粉样物质沉积在软脑膜、皮质血管壁导致的相关血管病变,作为CAA的最严重的并发症之一,在人口老年化日益严重的今天越来越受到人们的关注,其发生率也随年龄增加而升高,加之抗凝、溶栓、抗血小板等药物的普遍应用,使CAAH更易见于临床。但其临床症状体征、病因病机、影像学表现等较单纯的高血压性脑出血更为复杂,进而给临床诊断、治疗带来一定难度,论文就CAAH的临床表现及影像学特点进行探讨。

Cerebral amyloid angiopathy （Cerebral amyloid, angiopathy, CAA） is the deposition of amyloid in the leptomeninges related vascular lesions caused by cortical vascular wall, as one of the most serious complications of CAA, in today＇ s increasingly serious aging population has attracted more and more attention, its incidence also in- creased with age, and anticoagulation, thrombolysis, antiplatelet drugs widely used, making the CAAH more easily seen in the clinic. But its clinical symptoms, etiology and pathogenesis, imaging manifestations of cerebral hemorrhage is more complex than the pure, and then to the clinical diagnosis, treatment is difficult, we will discuss the clinical mani- festation and imaging CAAH school characteristics.