ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
medimedia.ir

Clinical and neuroimaging features of intracerebral hemorrhage associated with underlying causes

Clinical and neuroimaging features of intracerebral hemorrhage associated with underlying causes
Specifying ICH feature Characteristic underlying cause Other associated features Alternative underlying causes
Basal ganglia or brainstem location Deep perforating vasculopathy (HTN)
  • CMBs in basal ganglia, thalamus, pons, cerebellar nuclei
  • Subcortical white matter lesions on MRI
  • Deep perforating territory ischemic infarcts
  • Clinical history of HTN or diabetes mellitus
 
Lobar location Cerebral amyloid angiopathy
  • Cortico-subcortical CMBs
  • Convexal superficial siderosis
  • Clinical history of cognitive impairment
Deep penetrating vasculopathy (HTN)
Intraventricular hemorrhage Arteriovenous malformation
  • Flow voids within or adjacent to ICH
  • Calcification within or adjacent to ICH

Deep penetrating vasculopathy (HTN)

Cavernous malformation
Small ICH with adjacent calcification Cavernous malformation
  • T2-weighted image hyperintensity at center on MRI
  • Peripheral rim of T2*-weighted gradient echo image hypointensity on MRI
Deep penetrating vasculopathy (HTN)
Subarachnoid hemorrhage – Basal cisterns Ruptured cerebral aneurysm
  • SAH predominates over basal surfaces
  • Clinical history of thunderclap headache

Perimesencephalic hemorrhage

Non-aneurysmal SAH
Subarachnoid hemorrhage – Convexity Reversible cerebral vasoconstriction syndrome
  • Hemispheric or cortical ICH
  • Clinical history of recurrent thunderclap headache

Trauma

Cerebral amyloid angiopathy

Cerebral venous thrombosis

Arteriovenous malformation
Simultaneous acute infarcts Infective endocarditis
  • CMBs
  • Mycotic aneurysms (typically distal arterial locations)
  • Systemic/cutaneous evidence of embolism
  • New heart murmur

Cerebral amyloid angiopathy

Deep penetrating vasculopathy (HTN)
Cerebral vasculitis
  • Multifocal segmental narrowing on vascular imaging
  • Clinical history of new persistent headaches
  • Progressive cognitive or other neurologic impairment
Prominent edema Cerebral sinus thrombosis
  • Edema/hemorrhage extends to cortical surface
  • Venous flow void (eg, delta and empty-delta signs)
  • Clinical history of seizure or progressive headache
Subacute ICH of other etiologies
Tumor (primary/metastatic)
  • Multifocal lesions
  • Contrast enhancement
  • Clinical history of new persistent headaches
  • Clinical exam findings may be milder than imaging abnormalities
Hemorrhagic transformation of infarct
  • (Cytotoxic) Edema appears in distribution of arterial territory
  • Arterial stenosis or occlusion proximal to territory of hemorrhage
  • Clinical history of ischemic risk factors
Flow voids Moyamoya
  • Basal ganglia or hemispheric location
  • Bilateral (but may be asymmetric) narrowing of distal internal carotid or proximal anterior/middle cerebral arteries
  • Clinical history of episodes of transient weakness with vigorous laughing/crying
  • (Prominent cause of ICH and infarcts in children)
Arteriovenous malformation
ICH: intracerebral hemorrhage; HTN: hypertension; CMB: cerebral microbleeds; MRI: magnetic resonance imaging; SAH: subarachnoid hemorrhage.
Graphic 132289 Version 1.0

آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟