Focal laminar cortical MR signal abnormalities after subarachnoid hemorrhage

被引：51

作者：

Dreier, JP

Sakowitz, OW

Harder, A

Zimmer, C

Dirnagl, U

Valdueza, JM

Unterberg, AW

机构：

[1] Humboldt Univ, Dept Neurol, Charite, Berlin, Germany

[2] Humboldt Univ, Dept Expt Neurol, Charite, Berlin, Germany

[3] Humboldt Univ, Dept Neurosurg, Charite, Berlin, Germany

[4] Humboldt Univ, Dept Neuropathol, Charite, Berlin, Germany

[5] Humboldt Univ, Dept Neuroradiol, Charite, Berlin, Germany

[6] Univ Washington, Dept Neurol Surg, Seattle, WA 98195 USA

来源：

ANNALS OF NEUROLOGY | 2002年 / 52卷 / 06期

关键词：

D O I：

10.1002/ana.10383

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

In the autopsy studies of patients with delayed ischemic neurological deficits after subarachnoid hemorrhage, a predominance of cortical lesions has been observed. Similar to the autopsy descriptions in the literature, we present magnetic resonance images visualizing focal laminar cortical lesions around a fissure or sulcus in two patients, who initially did not undergo surgery, with delayed ischemic neurological deficits. This magnetic resonance imaging pattern may provide a clue to the diagnosis if the patient does not present to the emergency room with the acute hemorrhage but with delayed ischemic neurological deficits.

引用

收藏

页码：825 / 829

页数：5

相关论文

共 11 条

[1] INCIDENCE OF CEREBRAL INFARCTION ASSOCIATED WITH RUPTURED INTRACRANIAL ANEURYSMS - A STUDY OF 8 UNOPERATED CASES OF ANTERIOR CEREBRAL ANEURYSM [J].

BIRSE, SH ;

TOM, MI .

NEUROLOGY, 1960, 10 (02) :101-106

[2] CEREBRAL INFARCTION FOLLOWING RUPTURE OF CEREBRAL BERRY ANEURYSMS [J].

CROMPTON, MR .

BRAIN, 1964, 87 (02) :263-&

[3] Nitric oxide scavenging by hemoglobin or nitric oxide synthase inhibition by N-nitro-L-arginine induces cortical spreading ischemia when K+ is increased in the subarachnoid space [J].

Dreier, JP ;

Körner, K ;

Ebert, N ;

Görner, A ;

Rubin, I ;

Back, T ;

Lindauer, U ;

Wolf, T ;

Villringer, A ;

Einhäupl, KM ;

Lauritzen, M ;

Dirnagl, U .

JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 1998, 18 (09) :978-990

[4] Ischaemia triggered by spreading neuronal activation is inhibited by vasodilators in rats [J].

Dreier, JP ;

Petzold, G ;

Tille, K ;

Lindauer, U ;

Arnold, G ;

Heinemann, U ;

Einhäupl, KM ;

Dirnagl, U .

JOURNAL OF PHYSIOLOGY-LONDON, 2001, 531 (02) :515-526

[5] Products of hemolysis in the subarachnoid space inducing spreading ischemia in the cortex and focal necrosis in rats: a model for delayed ischemic neurological deficits after subarachnoid hemorrhage? [J].

Dreier, JP ;

Ebert, N ;

Priller, J ;

Megow, D ;

Lindauer, U ;

Klee, R ;

Reuter, U ;

Imai, Y ;

Einhäupl, KM ;

Victorov, I ;

Dirnagl, U .

JOURNAL OF NEUROSURGERY, 2000, 93 (04) :658-666

[6] Primary care: Avoiding pitfalls in the diagnosis of subarachnoid hemorrhage [J].

Edlow, JA ;

Caplan, LR .

NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (01) :29-36

[7]

FALCONER MA, 1954, P ROY SOC MED, V47, P693

[8] DELAYED CEREBRAL-ISCHEMIA - THE PATHOLOGICAL SUBSTRATE [J].

NEILDWYER, G ;

LANG, DA ;

DOSHI, B ;

GERBER, CJ ;

SMITH, PWF .

ACTA NEUROCHIRURGICA, 1994, 131 (1-2) :137-145

[9] Intracranial aneurysm rupture presenting as delayed stroke secondary to cerebral vasospasm [J].

Nussbaum, ES ;

Sebring, LA ;

Wen, DYK .

STROKE, 1997, 28 (10) :2078-2080

[10] CEREBRAL LESIONS DUE TO INTRACRANIAL ANEURYSMS [J].

ROBERTSON, EG .

BRAIN, 1949, 72 (02) :150-185