摘要
颅内动脉狭窄为中国缺血性卒中的主要病因。由于该类患者卒中复发率较高,经过选择的患者可能从介入治疗中获益,因此对颅内动脉狭窄进行风险分层及评估有助于临床治疗方案的确定。高分辨率磁共振成像能清晰显示颅内血管壁特征,有助于全面评估颅内血管。文章对颅内动脉粥样硬化性易损斑块特征、卒中发病机制以及高分辨率磁共振成像在颅内动脉狭窄中的临床应用进行了综述。
Intracranial artery stenosis is the main cause of ischemic stroke in China.Because of the high recurrence rate of stroke in these patients,the selected patients may benefit from interventional therapy.Therefore,risk stratification and evaluation of intracranial artery stenosis are helpful to determine the clinical treatment plan.High resolution magnetic resonance imaging can clearly show the characteristics of intracranial vascular wall,which is helpful to comprehensively evaluate intracranial vessels.This article reviews the characteristics of vulnerable plaque of intracranial atherosclerosis,the pathogenesis of stroke and the clinical application of high-resolution magnetic resonance imaging in intracranial artery stenosis.
作者
黎颖乐
刘嘉
程晓青
朱武生
Li Yingle;Liu Jia;Cheng Xiaoqing;Zhu Wusheng(Department of Neurology,Jinling Hospital,the First School of Clinical Medicine,Southern Medical University,Nanjing 210002,China;Department of Diagnostic Radiology,Jinling Hospital,Nanjing 210002,China;Department of Neurology,Jinling Hospital Affiliated to Medical School of Nanjing University,Nanjing 210002,China)
出处
《国际脑血管病杂志》
2022年第6期466-470,共5页
International Journal of Cerebrovascular Diseases
基金
江苏省自然科学基金(BK20201234)。
关键词
颅内动脉硬化
颈动脉狭窄
磁共振成像
斑块
动脉粥样硬化
卒中
脑缺血
Intracranial arteriosclerosis
Carotid stenosis
Magnetic resonance imaging
Plaque,atherosclerotic
Stroke
Brain ischemia
