PT -期刊文章盟Dong-Wha康盟Moon-Ku汉盟-韩惠珍金盟Sung-Cheol云盟Sang-Beom全非盟- Hee-Joon Bae盟金太阳Kwon AU - Jong美国TI -新的缺血性病变共存- 10.1212 / WNL急性脑出血援助。0 b013e3182648a79 DP - 2012年8月28日TA -神经首页病学第六PG - 848 - 855 - 79 IP - 9 4099 - //www.ez-admanager.com/content/79/9/848.short 4100 - //www.ez-admanager.com/content/79/9/848.full所以Neurology2012 8月28日;79 AB -目的:急性脑梗死可能与高血压脑出血共存(我)因为裂陷和高血压我有着共同的危险因素和小血管病理。我们试图确定的频率和预测新缺血性病变(NIL) diffusion-weighted成像(驾车),急性高血压患者我,调查是否零预测后续临床脑血管事件。方法:前瞻性研究招收了97名患有急性高血压我诊断后3天内发病。醉酒驾车和梯度回波T2 *三成像进行发病后5天。零被定义为hyperintense醉酒驾车病变伴随低强度对表观扩散系数的地图。患者定期跟进后续临床脑血管事件或血管性死亡。结果:49无症状NILs观察26例(26.8%)患者,37的49 NILs(75.5%)位于皮层下白质或脑干。多元逻辑回归分析表明,基线microbleeds祝辞2和中度到重度的白质leukoaraiosis是独立与零。在42个月的随访中位数(四分位范围,38-47数月),9患者临床脑血管事件或血管性死亡。 Cox proportional hazards models showed that NILs were independently associated with the composite of clinical cerebrovascular events or vascular death and marginally associated with clinical ischemic stroke. Conclusions: NILs frequently occur during the acute phase of ICH and are mainly associated with small-vessel pathogenesis. NILs occurring together with ICH may be a useful marker to identify patients at high risk of future clinical cerebrovascular events or vascular death. BP=blood pressure; CAA=cerebral amyloid angiopathy; CI=confidence interval; DWI=diffusion-weighted imaging; DWM=deep white matter; GCS=Glasgow Coma Scale; GRE=gradient echo imaging; ICH=intracerebral hemorrhage; IPTW=inverse-probability-of-treatment weighting; IS=ischemic stroke; mRS=modified Rankin Scale; NIHSS=NIH Stroke Scale; NIL=new ischemic lesion; OR=odds ratio; PVWM=periventricular white matter