TY -的T1 -新的缺血性病变共存急性脑出血JF -神经学乔-神经病学SP - 848 LP - 855 - 10.1212 / WNL。首页0 b013e3182648a79六世- 79 - 9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Y1 - 2012/08/28 UR - //www.ez-admanager.com/content/79/9/848.abstract N2 -目的:急性脑梗死可能与高血压脑出血共存(我)首页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 ER -
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