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Imaging features of adult moyamoya disease patients with anterior intracerebral hemorrhage based on high-resolution magnetic resonance imaging

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机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China [3]Department of Neurosurgery, Munson Medical Center, Traverse City, MI, USA [4]Department of Neurosurgery, the 307th Hospital of the Chinese People’s Liberation Army, The Fifth Medical Center of Chinese PLA General Hospital, Academy of Military Medical Science, Beijing, China [5]307 Clinical College of Anhui Medical University, Hefei, China [6]Beijing Key Laboratory of Hypoxic Conditioning Translational Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China [7]Department of Neurosurgery,Wayne State University, Detroit, MI, USA [8]Department of Radiology, Chaoyang Hospital, Capital Medical University, Beijing, China [9]Department of Emergency, Xuanwu Hospital, Capital Medical University, Beijing, China
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关键词: High-resolution magnetic resonance imaging internal carotid artery intracerebral hemorrhage lenticulostriate artery moyamoya disease

摘要:
This study aimed to identify the high-resolution magnetic resonance imaging (HRMRI) features of moyamoya disease (MMD) patients with anterior intracerebral hemorrhage (ICH) and attempted to reveal potential mechanisms of anterior ICH. Eligible adult MMD patients were consecutively included, and the morphological features of lenticulostriate arteries (LSAs), vessel wall structure of terminal internal carotid artery (ICA) and periventricular anastomosis were evaluated by HRMRI. 78 MMD patients containing 21 patients with anterior ICH, 31 ischemic patients and 26 asymptomatic patients were included. The mean value of total length of LSAs in anterior ICH group (90.79 +/- 37.00 mm) was distinctively lower (p < 0.001) compared with either ischemic group (138.04 +/- 46.01 mm) or asymptomatic group (170.50 +/- 39.18 mm). Lumen area of terminal ICA was significantly larger (p < 0.001) in hemorrhagic group (4.33 +/- 2.02 mm(2)) compared with ischemic group (2.29 +/- 1.17 mm(2)) or asymptomatic group (3.00 +/- 1.34 mm(2)). Multivariate analysis revealed the total length of LSAs (OR 0.689, 95%CI, 0.565-0.840; p < 0.001) and lumen area of terminal ICA (OR 2.085, 95%, 1.214-3.582; p = 0.008) were significantly associated with anterior ICH. Coexistence of reduced LSAs and relatively preserved lumen area of terminal ICA with an AUC of 0.901 (95%CI, 0.812-0.990) could be a potential predictor of anterior ICH in MMD patients.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢 2 区 血液学 2 区 神经科学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢 2 区 血液学 2 区 神经科学
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出版当年[2020]版:
Q1 NEUROSCIENCES Q1 HEMATOLOGY Q1 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q1 ENDOCRINOLOGY & METABOLISM Q1 HEMATOLOGY Q1 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China
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通讯机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China [6]Beijing Key Laboratory of Hypoxic Conditioning Translational Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China [9]Department of Emergency, Xuanwu Hospital, Capital Medical University, Beijing, China [*1]Department of Neurology, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China. [*2]Department of Emergency, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China.
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