NON-HAEMORRHAGIC VENOUS STROKE DIAGNOSIS CRITERIA BY MULTISLICED COMPUTED TOMOGRAPHY (CT) AND MAGNETIC RESONANCE IMAGING (MRI)
https://doi.org/10.17802/2306-1278-2012-1-43-53
Abstract
Purpose. The study was aimed at detecting the signs of focal and perifocal injury in venous strokes and their differences from those in arterial strokes by urgent CT and MRI. Materials and methods. The diagnosis of a venous stroke was verifi ed by neurovisualization (native MSCT, perfusion CT or CT angiography, conventional MRI and MR-angiography) and during autopsy (in case of a fatal outcome). Results. Patients with venous strokes had a hyperdense (by routine CT) stroke-related vessel, compensatory venous distention on the side of the occlusion, early haemorrhagic transformation, the changes localized in the region of the affected vein. Conclusions. The study allowed to detect CT and MRI signs, which can help to differentiate arterial and venous strokes.
About the Authors
S. E. Semenov
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
A. V. Kovalenko
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
A. A. Khromov
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
I. V. Moldavskaya
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
A. N. Khromova
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
E. A. Zhuchkova
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
Y. M. Portnov
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
A. N. Kokov
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
M. G. Shatokhina
Diagnosis and Treatment Centre of the International Institute for Biology Systems n. a. S. M. Berezin
Russian Federation
Russian Federation
A. A. Tulupov
International tomographic center, Novosibirsk
Russian Federation
Russian Federation
References
1. Гусев Е. И., Скворцова В. И., Стаховская Л. В. Эпидемиология инсульта в России // Доказательная медицина: ежегодный междунар. справ. Вып. 1, ч. 2. Неврологические заболевания. Психические заболевания / под общ. ред. С. Е. Бащинского. М.: Медиа Сфера, 2002. 162 с.
2. Гусев Е. И., Скворцова В. И. Ишемия головного мозга. М.: Медицина, 2001. 328 с.
3. Жулев Н. М. Пустозеров В. Г., Жулев С. Н. Цереброваскулярные заболевания. Профилактика и лечение инсультов. СПб.: Невский диалект, 2002. 384 c.
4. Корниенко В. Н., Пронин И. Н. Диагностическая нейрорадиология. 2-е изд. М.: Изд-во НИИ нейрохирургии им. Н. И. Бурденко, 2012. 1885 с.
5. Кротенкова М. В. Диагностика острого инсульта: нейровизуализационные алгоритмы: автореф. дис. … д-ра мед. наук: 14.01.11. М., 2011. 48 с.
6. Неймарк Е. З. Тромбозы внутричерепных синусов и вен. М.: Медицина, 1975. 174 с.
7. Нервные болезни: пособие для студентов и врачей / Н. К. Боголепов [и др.]. М.: Медгиз, 1956. 517 c.
8. Рентгеновская компьютерная и магнитнорезонансная томография в диагноcтике ишемического инсульта / Г. Е. Труфанов [и др.]. СПб.: ЭЛБИ-СПб, 2005. 192 c.
9. Скворцова В. И. Ишемический инсульт: патогенез ишемии, терапевтические подходы // Неврологический журнал. 2001. № 3. С. 4–11.
10. Суслина З. А., Кистенев Б. А., Смирнова И. Н. Тромбофлебит внутренней яремной вены и сигмовидного синуса в остром периоде стволового ишемического инсульта // Неврологический журнал. 1997. № 1. С. 33–37.
11. Хеннерици М. Г., Богуславски Ж., Сакко Р. Инсульт: клиническое руководство. пер. с англ. / под общ. ред. В. И. Скворцовой. М.: МЕДпресс-информ, 2008. C. 57.
12. Crombe´ D., Haven F., Gille M. Isolated deep cerebral venous thrombosis diagnosed on CT and MR imaging: a case study and literature review // JBR-BTR. 2003. Vol. 86. Р. 257–261.
13. Diagnosis and Management of Cerebral Venous Thrombosis: A Statement for Healthcare Professionals From the American Heart Association / G. Saposnik [et al.]; American Stroke Association // Stroke. 2011. Vol. 42. Р. 1158–1192.
14. Multidetector computed tomography technology: Advances in Imaging Techniques: Brain Perfusion / L. Bonomo [et al.]. London, UK: Royal Society of Medicine Press Ltd, 2003. 300 р.
15. Venous sinus occlusive disease: MR findings / W. T. Yuh [et al.] // AJNR Am. J. Neuroradiol. 1994. Vol. 15. P. 309–316.
Review
For citations:
Semenov S.E., Kovalenko A.V., Khromov A.A., Moldavskaya I.V., Khromova A.N., Zhuchkova E.A., Portnov Y.M., Kokov A.N., Shatokhina M.G., Tulupov A.A. NON-HAEMORRHAGIC VENOUS STROKE DIAGNOSIS CRITERIA BY MULTISLICED COMPUTED TOMOGRAPHY (CT) AND MAGNETIC RESONANCE IMAGING (MRI). Complex Issues of Cardiovascular Diseases. 2012;(1):43-53. (In Russ.) https://doi.org/10.17802/2306-1278-2012-1-43-53
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