Isolated Acute Nontraumatic Cortical Subarachnoid Hemorrhage

被引:107
作者
Cuvinciuc, V. [1 ]
Viguier, A. [2 ]
Calviere, L. [2 ]
Raposo, N. [2 ]
Larrue, V. [2 ]
Cognard, C. [1 ]
Bonneville, F. [1 ]
机构
[1] Univ Hosp, Dept Neuroradiol, Toulouse, France
[2] Rangueil Univ Hosp, Dept Vasc Neurol, Toulouse, France
关键词
ATTENUATED INVERSION-RECOVERY; CEREBRAL AMYLOID ANGIOPATHY; REVERSIBLE ENCEPHALOPATHY SYNDROME; MAGNETIC-RESONANCE; VENOUS THROMBOSIS; DIFFERENTIAL-DIAGNOSIS; INFECTIVE ENDOCARDITIS; CEREBROSPINAL-FLUID; CLINICAL-FEATURES; MOYAMOYA-DISEASE;
D O I
10.3174/ajnr.A1986
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Our aim was to review the etiologic background of isolated acute nontraumatic cSAH. While SAH located in the basal cisterns originates from a ruptured aneurysm in approximately 85% of cases, a broad spectrum of vascular and even nonvascular pathologies can cause acute nontraumatic SAH along the convexity. Arteriovenous malformations or fistulas, cortical venous and/or dural sinus thrombosis, and distal and proximal arteriopathies (RCVS, vasculitides, mycotic aneurysms, Moyamoya, or severe atherosclerotic carotid disease) should be sought by noninvasive imaging methods or/and conventional angiography. Additionally, PRES may also be a source of acute cSAH. In elderly patients, cSAH might be attributed to CAA if numerous hemorrhages are demonstrated by GRE T2 images. Finally, cSAH is rarely observed in nonvascular disorders, such as abscess and primitive or secondary brain tumors.
引用
收藏
页码:1355 / 1362
页数:8
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