弥散加权成像高信号完全可逆的急性缺血性卒中病例临床及影像学特征分析  

Clinical and Imaging Characteristics in Acute Ischemic Stroke Patients with Complete Reversible Diffusion Weighted Imaging Hyperintensities: a Retrospective Analysis

作　　者：杨蓉[1] 荆利娜[1,2] 高培毅 隋滨滨[1,2] 沈宓 王海阔[1] 秦海强 陈丽[5] YANG Rong;JING Li-Na;GAO Pei-Yi;SUI Bin-Bin;SHEN Mi;WANG Hai-Kuo;QIN Hai-Qiang;CHEN Li(4.Department of Neurology,Beijing Tian Tan Hospital,Capital Medical University,Beijing 100070,China;Beijing Key Laboratory of MRI Brain Informatics,Beijing 100070,China;Beijing Neurosurgical Institute,Beijing 100070,China;Department of Radiology,Xinjiang Hetian Regional People’s Hospital,Hetian 848000,China)

机构地区：[1]首都医科大学附属北京天坛医院放射科,北京100070 [2]磁共振成像脑信息学北京市重点实验室 [3]北京市神经外科研究所 [4]首都医科大学附属北京天坛医院神经内科 [5]新疆和田地区人民医院放射科

出　　处：《中国卒中杂志》2019年第6期561-567,共7页Chinese Journal of Stroke

基　　金：“十二五”国家科技支撑计划项目（2011BAI08B09）;国家自然科学基金（81301193）;国家自然科学基金-NIH国际合作项目（81361120402）;北京市自然科学基金（7162056,7133238）

摘　　要：目的分析急性缺血性卒中完全可逆性DWI高信号病例的临床与影像学特征。方法回顾性分析2012年1月-2015年12月的急性缺血性卒中完全可逆性DWI高信号病例9例,通过基线与随访数据评估其临床与影像学特征。结果急性缺血性卒中完全可逆性DWI高信号病例基线NIHSS评分为1(1~2.5)分,基线DWI高信号体积为0.94(0.28~2.39)mL,病变既见于皮层/皮层下,又见于深部白质,随访90 d的mRS评分为0(0~1)分。结论急性缺血性卒中完全可逆性DWI高信号多见于轻型卒中,病灶梗死体积小,临床预后良好。Objective To analyze the clinical and imaging characteristics in acute ischemic stroke(AIS)patients with complete reversible DWI hyperintensities.Methods Data of nine AIS patients with complete reversible DWI hyperintensities from January 2012 to December 2015 were collected retrospectively.Clinical and imaging characteristics in these patients were evaluated through baseline and follow-up information.Results The median baseline NIHSS was 1(1-2.5),the mean baseline volume of DWI hyperintensities was 0.94(0.28-2.39)mL and the median mRS at 90 days was 0(0-1)in the nine patients.Complete reversible DWI hyperintensities could be found in cortex,subcortical white matter,and deep white matter.Conclusions Complete reversible DWI hyperintensities were usually found in minor stroke with small infarct volume,and such patients usually had good clinical outcome.

关 键 词：急性卒中 弥散加权成像 缺血 磁共振成像 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R445.2[医药卫生—临床医学]