PERIVENTRICULAR VENOUS COLLAGENOSIS - ASSOCIATION WITH LEUKOARAIOSIS

被引:256
作者
MOODY, DM
BROWN, WR
CHALLA, VR
ANDERSON, RL
机构
[1] WAKE FOREST UNIV, BOWMAN GRAY SCH MED, DEPT PATHOL, WINSTON SALEM, NC 27157 USA
[2] WAKE FOREST UNIV, BOWMAN GRAY SCH MED, DEPT PUBL HLTH SCI, WINSTON SALEM, NC 27157 USA
[3] WAKE FOREST UNIV, BOWMAN GRAY SCH MED, PROGRAM NEUROSCI, WINSTON SALEM, NC 27157 USA
关键词
BRAIN; DISEASES; WHITE MATTER; CEREBRAL BLOOD VESSELS; STENOSIS OR OBSTRUCTION; VEINS;
D O I
10.1148/radiology.194.2.7824728
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To investigate the association between an age-related degenerative disease of subependymal veins and leukoaraiosis. MATERIALS AND METHODS: Brains obtained at autopsy from 22 patients (average age, 73.2 years; range, 25-95 years) were examined with magnetic resonance (MR) imaging and neuropathologic methods with alkaline phosphatase microvascular staining. The degrees of leukoaraiosis shown on MR images and of deep venous occlusion were scored independently and results compared with logistic regression analysis. RESULTS: Noninflammatory collagenous thickening of venous walls resulting in severe periventricular venous stenosis was found in 13 (65%) of 20 patients over 60 years old. Advanced leukoaraiosis was found in 10 (77%) of these 13 patients. Greater venous disease was associated with more severe leukoaraiosis. CONCLUSION: Periventricular venous collagenosis, a commonly observed and previously ignored degenerative disease of elderly humans, is strongly associated with leukoaraiosis. Stenosis or occlusion of deep cerebral veins may promote development of leukoaraiosis.
引用
收藏
页码:469 / 476
页数:8
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