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Cortical microinfarcts on 7T MRI in patients with spontaneous intracerebral hemorrhage
Authors:Susanne J van Veluw  Wilmar M T Jolink  Jeroen Hendrikse  Mirjam I Geerlings  Peter R Luijten  Geert Jan Biessels  Catharina J M Klijn
Affiliation:1Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands;2Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands;3Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands
Abstract:
In patients with spontaneous intracerebral hemorrhage (ICH) coexisting abnormalities on brain imaging can provide clues on the etiology of the underlying small vessel disease. We examined cortical cerebral microinfarcts as a novel marker of coexistent vascular damage in ICH. Twelve patients with spontaneous ICH and 15 controls underwent 7Tesla magnetic resonance imaging (MRI). Microinfarcts were present in 9 of 12 patients with spontaneous ICH, and in 5 of 15 controls. This explorative study shows, for the first time, that microinfarcts appear to be a very common vascular comorbidity in spontaneous ICH. Future larger studies should further assess the etiological significance of these lesions.
Keywords:high-field MRI   microbleeds   microinfarcts   small vessel disease   spontaneous intracerebral hemorrhage
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