Literature DB >> 15503095

Cerebral microbleeds in patients with hypertensive stroke. Topographical distribution in the supratentorial area.

Seung-Hoon Lee1, Seon-Joo Kwon, Ki Soon Kim, Byung-Woo Yoon, Jae-Kyu Roh.   

Abstract

OBJECTIVE: To analyse the topography of cerebral microbleeds (CMBs) visualized by T2*-weighted gradient-echo MR imaging in the supratentorial brain area, based on the anatomical classification of the regions and the arterial territories.
BACKGROUND: CMBs are associated with hypertension and the risk of intracerebral hemorrhage; however, little is known about the cerebral topography of CMBs.
METHODS: We examined 164 consecutive patients with hypertensive stroke who underwent T2*-weighted gradient-echo MRI. The anatomical locations and the vascular territories of the CMBs were determined in the subcortical white matter, basal ganglia/internal capsule and thalamus along the standard axial slices.
RESULTS: We detected 2,193 CMBs in 98 patients (13.4+/-39.0 per patient). The CMBs showed a significant predilection for the temporo-occipital area of the subcortical white matter, the posterolateral part of the upper putamen, and the lateral nuclei of the mid-level thalamus. The most common arterial territories were those of the middle-posterior cerebral artery in the white matter, the middle cerebral artery in the basal ganglia, and the thalamogeniculate artery in the thalamus.
CONCLUSIONS: These findings were quite similar to the cerebral topography of intracerebral hemorrhage described in the literature. Our results suggest that CMBs are regionally associated with intracerebral hemorrhage.

Entities:  

Mesh:

Year:  2004        PMID: 15503095     DOI: 10.1007/s00415-004-0500-6

Source DB:  PubMed          Journal:  J Neurol        ISSN: 0340-5354            Impact factor:   4.849


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  17 in total

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Review 2.  Cerebral microhemorrhages: mechanisms, consequences, and prevention.

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Review 8.  Anticoagulation for Atrial Fibrillation in Patients with Cerebral Microbleeds.

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Journal:  J Korean Neurosurg Soc       Date:  2009-07-31

10.  Risk vs benefit of anti-thrombotic therapy in ischaemic stroke patients with cerebral microbleeds.

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Journal:  J Neurol       Date:  2008-12-08       Impact factor: 4.849

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