Advanced CT Imaging in the Evaluation of Hemorrhagic Stroke

被引:24
作者
Almandoz, Josser E. Delgado [1 ,2 ]
Romero, Javier M. [1 ,3 ,4 ]
机构
[1] Massachusetts Gen Hosp, Div Neuroradiol, Neurovasc Lab, Boston, MA 02114 USA
[2] Washington Univ, Sch Med, Mallinckrodt Inst Radiol, Div Neuroradiol, St Louis, MO 63110 USA
[3] Harvard Univ, Sch Med, Boston, MA USA
[4] Ultrasound Imaging Serv, Boston, MA USA
关键词
Multidetector CT angiography; Hemorrhagic stroke; Secondary intracerebral hemorrhage score; CT angiography spot sign; PRIMARY INTRACEREBRAL HEMORRHAGE; ANGIOGRAPHY SPOT SIGN; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; CONTRAST-INDUCED NEPHROPATHY; PREDICTS HEMATOMA EXPANSION; ARTERIOVENOUS-MALFORMATIONS; HIGHEST RISK; CEREBRAL-HEMORRHAGE; IDENTIFIES PATIENTS; NATURAL-HISTORY;
D O I
10.1016/j.nic.2011.01.001
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Multidetector computed tomographic (CT) angiography is rapidly becoming a pivotal examination in the initial evaluation of patients with hemorrhagic stroke. This article provides an update of the literature on this dynamic topic, focusing on (1) the utility of CT angiography in the identification of hemorrhagic stroke patients who harbor an underlying vascular etiology and the role of the secondary intracerebral hemorrhage score, as well as (2) the clinical value of the CT angiography spot sign and spot sign score in patients with primary intracerebral hemorrhage.
引用
收藏
页码:197 / +
页数:18
相关论文
共 30 条
[1]   Practical Scoring System for the Identification of Patients with Intracerebral Hemorrhage at Highest Risk of Harboring an Underlying Vascular Etiology: The Secondary Intracerebral Hemorrhage Score [J].
Almandoz, J. E. Delgado ;
Schaefer, P. W. ;
Goldstein, J. N. ;
Rosand, J. ;
Lev, M. H. ;
Gonzalez, R. G. ;
Romero, J. M. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2010, 31 (09) :1653-1660
[2]   Diagnostic Accuracy and Yield of Multidetector CT Angiography in the Evaluation of Spontaneous Intraparenchymal Cerebral Hemorrhage [J].
Almandoz, J. E. Delgado ;
Schaefer, P. W. ;
Forero, N. P. ;
Falla, J. R. ;
Gonzalez, R. G. ;
Romero, J. M. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2009, 30 (06) :1213-1221
[3]  
ALMANDOZ JED, 2011, AJNR AM J N IN PRESS
[4]  
ALMANDOZ JED, 2010, P 2010 INT STROK C S
[5]   The Spot Sign Score in Primary Intracerebral Hemorrhage Identifies Patients at Highest Risk of In-Hospital Mortality and Poor Outcome Among Survivors [J].
Almandoz, Josser E. Delgado ;
Yoo, Albert J. ;
Stone, Michael J. ;
Schaefer, Pamela W. ;
Oleinik, Alexandra ;
Brouwers, H. Bart ;
Goldstein, Joshua N. ;
Rosand, Jonathan ;
Lev, Michael H. ;
Gonzalez, R. Gilberto ;
Romero, Javier M. .
STROKE, 2010, 41 (01) :54-60
[6]   Systematic Characterization of the Computed Tomography Angiography Spot Sign in Primary Intracerebral Hemorrhage Identifies Patients at Highest Risk for Hematoma Expansion The Spot Sign Score [J].
Almandoz, Josser E. Delgado ;
Yoo, Albert J. ;
Stone, Michael J. ;
Schaefer, Pamela W. ;
Goldstein, Joshua N. ;
Rosand, Jonathan ;
Oleinik, Alexandra ;
Lev, Michael H. ;
Gonzalez, R. Gilberto ;
Romero, Javier M. .
STROKE, 2009, 40 (09) :2994-3000
[7]   Intensive blood pressure reduction in acute cerebral haemorrhage trial (INTERACT): a randomised pilot trial [J].
Anderson, Craig S. ;
Huang, Yining ;
Wang, Ji Guang ;
Arima, Hisatomi ;
Neal, Bruce ;
Peng, Bin ;
Heeley, Emma ;
Skulina, Christian ;
Parsons, Mark W. ;
Kim, Jong Sung ;
Tao, Qing Ling ;
Li, Yue Chun ;
Jiang, Jian Dong ;
Tai, Li Wen ;
Zhang, Jin Li ;
Xu, En ;
Cheng, Yan ;
Heritier, Stephan ;
Morgenstern, Lewis B. ;
Chalmers, John .
LANCET NEUROLOGY, 2008, 7 (05) :391-399
[8]   Intracerebral hemorrhage [J].
Badjatia, N ;
Rosand, J .
NEUROLOGIST, 2005, 11 (06) :311-324
[9]   Extravasation of radiographic contrast is an independent predictor of death in primary intracerebral hemorrhage [J].
Becker, KJ ;
Baxter, AB ;
Bybee, HM ;
Tirschwell, DL ;
Abouelsaad, T .
STROKE, 1999, 30 (10) :2025-2032
[10]   Hematoma growth is a determinant of mortality and poor outcome after intracerebral hemorrhage [J].
Davis, SM ;
Broderick, J ;
Hennerici, M ;
Brun, NC ;
Diringer, MN ;
Mayer, SA ;
Begtrup, K ;
Steiner, T .
NEUROLOGY, 2006, 66 (08) :1175-1181