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脑淀粉样血管病1例尸检报道
引用本文:侯德仁,王艳,谷永红,罗学港,蔡维君.脑淀粉样血管病1例尸检报道[J].卒中与神经疾病,2007,14(4):226-227.
作者姓名:侯德仁  王艳  谷永红  罗学港  蔡维君
作者单位:1. 410013,长沙,中南大学湘雅三医院神经内科
2. 410013,长沙,中南大学湘雅三医院病理科
3. 中南大学湘雅医学院解剖教研室
摘    要:目的 探讨脑淀粉样血管病相关脑出血的临床表现和病理特点。方法 回顾性分析1例脑淀粉样血管病患者的临床表现,通过尸检观察病理改变。结果 脑淀粉样血管病相关脑出血临床上呈复发性和多灶性,刚果红染色可见淀粉样物质沉积于血管壁。结论 对于临床上出现的复发性和多灶性的脑出血,尤其是脑叶出血,要警惕脑血管淀粉样变性的可能,脑活检刚果红染色可以协助诊断。

关 键 词:脑淀粉样血管病  脑出血  尸检
文章编号:1007-0478(2007)04-0226-02
收稿时间:2006-11-21
修稿时间:2007-04-30

An autopsy case report of cerebral amyloid angiopathy
Hou Deren ,Wang Yan ,Gu Yonghong ,et al..An autopsy case report of cerebral amyloid angiopathy[J].Stroke and Nervous Diseases,2007,14(4):226-227.
Authors:Hou Deren  Wang Yan  Gu Yonghong  
Institution:Neurology Department ,the 3^rd Xiang Ya Hospital ,Central South University ,Changsha 410013
Abstract:Objective To investigate the clinical and pathological features of cerebral amyloid angiopathy related hemmorrhage(CAAH).Methods To analyze the clinical features of a patient retrospectively,and observe the pathological changes by autopsy examination.Results CAAH clinical feature is recurrent and multifocal.Amyloid deposition in the vessel wall can be found by congo red staining.Conclusions Recurrent and multifocal cerebral hemorrhages,especially those in the lobes,highly indicate the posibility of cerebal amyloid angiopathy.Brain biopsy and congo red staining is valuable to the diagnosis of this disease.
Keywords:Cerebral amyloid angiopathy Cerebral hemmorrhage Autopsy
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