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Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 110
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DOI: https://doi.org/10.55046/vjrnm.5.218.2012
Issue
No. 5 (2012)
Section
Scientific research
How to Cite
Truong, N. S., Tran, A. T., Vu, D. L., & Pham, M. T. (2022). The study of characteristic imaging of non-traumatic cerebral parenchymal hemorhage on MRI. Vietnamese Journal of Radiology and Nuclear Medicine, 5, 15-23. https://doi.org/10.55046/vjrnm.5.218.2012

The study of characteristic imaging of non-traumatic cerebral parenchymal hemorhage on MRI

Truong Ngoc Son1, Tran Anh Tuan2, Vu Dang Luu2, Pham Minh Thong2,
1 Ninh Binh Provincial Hospital
2 Bach Mai Hospital

Main Article Content

Abstract

SUMMARY


Objective: This study aims to describe the characteristic and find out the causes of non-traumatic cerebral parenchymal hemorhage on MRI.
Materials and methods: Across descriptive study was underwent on 45 patients suffering from cerebral parenchymal hemorhage in BachMai hospital, from January to Sseptember, 2010.
Results: Super-acute stade: The hematoma is isointense on T1, central hyperintense and peripheric hypointense on T2, Flair, T2* (5/5 cases). Acute stade: isointense on T1; hypointense in the centre, hyperintense in peripheric on T2, Flair (2/2 cases). Early subacute stade: homogeneous hyperintense on T1W (6/8 cases). Later subacute stade: homogeneous hyperintense on T1W (84.6%), peripheric hypointese on T2W (88.5%). Chronic stade: isointense
on T1, Central hyperintense on T2, Flair, T2* (2/2 cases). Hypertension is the most common causes (48.5%) and leads to central noyal hematoma. Meanwhile lobular hematoma is due to
vascular malformation (35.3%). The hyperintense is more frequently in over 50 years old (73.1%) and vascular malformation is seen in the under 50 years old (47%).
Conclusion: MRI is effective method to evaluate the characteristic of cerebral parenchymal hematoma and has important role in searching the causes.

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References

TÀI LIỆU THAM KHẢO
1. Nguyễn Minh Hiện, Lê Văn Thính (1998): “Nhận xét hình ảnh chụp CLVT ở bệnh nhân XHN”. Công trình Nghiên cứu khoa học 1997-1998; Tập 1; Nhà xuất bản Y học, Hà Nội; tr.53-58
2. Hoàng Đức Kiệt, Nguyễn Quốc Dũng và cộng sự (2002): “Nghiên cứu ứng dụng cộng hưởng từ trong chẩn đoán bệnh lý mạch máu não”, Tài liệu tập huấn Y tế chuyên sâu chuyên đề Chẩn đoán hình ảnh, Bộ Y tế.
3. Akihiko Hino, Masahito Fujimoto (1998): “Value of repeat angiography in patients with spontaneous subcortical hemorrhage”. Stroke; 29: 2517-2521.
4. Bo Kiung Kang, Dong Gyu Na, et al (2001): “Diffusion-weighted MR Imaging of intracerebral hemorrhage”; Korean J. Radiol; 2(4): 183-191.
5. Dollberg S., Robin A.J., Fisher D. (1986): “A new look at the natural history and clinical features of intracerebral hemorrhage: A clinical CT Scan Correlation”. Gerontology; 32: 211-216.
6. Offenbacher H, Fazekas F, et al. (1996): “MR of cerebral abnormalities concomitant with primary intracerebral hematomas”. AJNR Am J Neuroradiol; 17(3): 573-578.
7. Roberts H., Lee T., Higashida R. (2005): “Imaging and endovascular therapy of cerebral venous and dural sinus thrombosis”, Imaging of the Nervous System, Vol. 1; Moseley M, eds , Philadelphia; 2005; pp.723-741.
8. Stéphane Silvera, Catherine Oppenheim, et al (2005): “Spontaneous Intracerebral Hematoma on Diffusion-weighted Images: Influence of T2-shine-through and T2-blackout Effects”. Neuroradiol; 26: 236-241.
9. Tanaka Y, Furuse M (1986): “Lobar intracerebral hemorrhage: etiology and a long-term follow-up study of 32 patients”. Stroke: 17(1): 51-57.
10. Toffol G., Biller J., Adams Jr.H.P. (1987): “Non traumatic intracerebral hemorrhage in young adults”, Arch Neuol, 44, pp.483-485.