机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经内科首都医科大学宣武医院[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科技平台低氧适应转化医学北京市重点实验室首都医科大学宣武医院[7]Department of Neurosurgery,Wayne State University, Detroit, MI, USA[8]Department of Radiology, Chaoyang Hospital, Capital Medical University, Beijing, China北京朝阳医院[9]Department of Emergency, Xuanwu Hospital, Capital Medical University, Beijing, China内科系统急诊科首都医科大学宣武医院
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.
基金:
This study was supported by National Natural
Science Foundation of China (No. 82001257 and 82027802).
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
通讯作者:
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.
推荐引用方式(GB/T 7714):
Xu Jiali,Rajah Gary B.,Zhang Houdi,et al.Imaging features of adult moyamoya disease patients with anterior intracerebral hemorrhage based on high-resolution magnetic resonance imaging[J].JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM.2022,42(11):2123-2133.doi:10.1177/0271678X221111082.
APA:
Xu, Jiali,Rajah, Gary B.,Zhang, Houdi,Han, Cong,Shen, Xuxuan...&Ji, Xunming.(2022).Imaging features of adult moyamoya disease patients with anterior intracerebral hemorrhage based on high-resolution magnetic resonance imaging.JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM,42,(11)
MLA:
Xu, Jiali,et al."Imaging features of adult moyamoya disease patients with anterior intracerebral hemorrhage based on high-resolution magnetic resonance imaging".JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM 42..11(2022):2123-2133