Abstract：Objective: To evaluate the value of multi-slice spiral CT angiography(MSCTA) in the etiological diagnosis of spontaneous intracranial hemorrhage. Methods: We retrospectively analyzed the imaging data of 69 cases spontaneous intracranial hemorrhage. All patients underwent MSCTA examination, including 36 patients with aneurysm who underwent DSA and the embolization therapy of responsibility aneurysms. Results: We diagnosed 36 cases of aneurysm, 13 cases of moyamoya disease, and 8 cases of arteriovenous malformations by MSCTA, but 33 cases of aneurysm was confirmed by DSA and embolization, one of misdiagnosis and 2 cases of miss diagnosis, with the diagnostic accuracy of 91.7% in patients with aneurysms. The cause analysis of bleeding in different bleeding positions showed that subarachnoid hemorrhage was mainly caused by the ruptured of aneurysm, ventricular hemorrhage was mostly caused by moyamoya disease, the main reason of the lobar hemorrhage was cerebral vascular malformations, the main reason of deep cerebral hemorrhage was caused by moyamoya disease. Mixed hemorrhage could be caused by aneurysm and vascular malformations. Conclusion: MSCTA has an important value in the etiological diagnosis of spontaneous intracranial hemorrhage.
王 磊，裴昌军，王 琨，蔡维波. MSCTA在自发性颅内出血病因诊断中的价值[J]. 中国临床医学影像杂志, 2017, 28(3): 162-165.
WANG Lei, PEI Chang-jun, WANG Kun, CAI Wei-bo. The value of MSCTA in the etiological diagnosis of spontaneous intracranial hemorrhage. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(3): 162-165.
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