蛛网膜下腔出血第1部分:病理生理、诊断和特殊形式。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-05-19 DOI:10.1007/s00117-025-01463-9
Umut Yilmaz, Malvina Garner, Wolfgang Reith
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引用次数: 0

摘要

动脉瘤性蛛网膜下腔出血(SAH)是一种罕见但危及生命的中风类型,死亡率高。现代成像技术,如计算机断层扫描(CT), CT血管造影(CTA)和数字减影血管造影(DSA)现在可以快速和可靠的诊断。在不明确的情况下,脑脊液分析是必不可少的组成部分。CME文章的第一部分着重于SAH的病理生理学、流行病学和临床表现。除了标准的诊断程序外,还讨论了特殊形式的SAH,如脑周围SAH和由于硬膜内夹层引起的SAH。目的是为鉴别诊断分类和进一步的临床管理提供坚实的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Subarachnoid hemorrhage part 1 : Pathophysiology, diagnostics and special forms].

Aneurysmal subarachnoid hemorrhage (SAH) is a rare but life-threatening type of stroke with high mortality. Modern imaging techniques such as computed tomography (CT), CT angiography (CTA) and digital subtraction angiography (DSA) nowadays enable a rapid and reliable diagnosis. In unclear cases, cerebrospinal fluid analysis is an essential component. This first part of the CME article focuses on the pathophysiology, epidemiology and clinical presentation of SAH. In addition to standard diagnostic procedures, special forms such as perimesencephalic SAH and SAH due to intradural dissection are discussed. The goal is to provide a solid basis for the differential diagnostic classification and further clinical management.

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