自发性蛛网膜下腔出血DSA阴性结果的病因学探讨  

Etiology Study For Spontaneous Nonaneurysmal Subarachoid Hemorrhage With DSA Negatvie Result

作　　者：刘建辉[1] 冀凤云[1] 王婷[1] 解旭东[1] 

机构地区：[1]河北省保定市解放军二五二医院神经内科,071000

出　　处：《脑与神经疾病杂志》2001年第2期82-83,共2页Journal of Brain and Nervous Diseases

摘　　要：目的：研究脑血管造影阴性的自发性蛛网胰下腔出血（ＳＡＨ）的病因。方法：分析脑血管植影阴性的 ＳＡＨ２５例。绝大多数均经ＣＴ、ＤＳＡ、ＭＲＩ检查。结果：２５例中，脊髓动静脉畸形１例，血液病１例，另２例可能为破裂出血的隐惹型血管畸形或海绵状血管瘤。结论：初次血管造影阴性的ＳＡＨ的处理及预后与ＣＴ上出血的特征有密切关系，对于环中脑池蛛网膜下腔出血（ＰＮＳＨ）应避免重复造影，脑脊髓ＭＲＩ检查对明确病因有一定帮助。Objective: To study the etiology and the treatment of spontaneous nonaneurysmal subarachnoid hemorrhage. Methods: Twenty five cases of cerebral vessel angiography negative patients were analysed retrospectively, the majority of them had been undergone CT, DSA, MRI examination in order to define the etiological factor. Results: Among them, there was I case of spinal ateri-venous malformation, 1 case of hemorrhagic blood and 2 cases according to the revealing of MRI could be explained as bleeded vascular occult malformation or cavernousangionma. Conclusion: The management and prognosis of patients in whom ononaneurysm is founded on the initial angiongram depends on the pattern of hemorrhage of the initial CT scanming, repeated angiography should be avoided for the case of perimesencephalic nonaneuryomal SAH and MRI examination may be indicated to defining of etiological factors.

关 键 词：蛛网膜下腔出血 影像学检查 病因 

分 类 号：R743.350.2[医药卫生—神经病学与精神病学]