ldtЛучевая диагностика и терапияDiagnostic radiology and radiotherapy2079-5343Baltic Medical Education Center10.22328/2079-5343-2018-9-3-23-27ldt-318Research ArticleЛЕКЦИИ, ОБЗОРЫLECTURES AND REVIEWSДИФФЕРЕНЦИАЛЬНАЯ ДИАГНОСТИКА НЕТРАВМАТИЧЕСКИХ ВНУТРИМОЗГОВЫХ КРОВОИЗЛИЯНИЙ ПО ЭТИОПАТОФИЗИОЛОГИИ ЛУЧЕВЫМИ МЕТОДАМИDIFFERENTIAL DIAGNOSIS OF NON-TRAUMATIC BRAIN HEMORRHAGE WITH ETIOPATHOGENETIS ASSOSIATIONБергенТ. А.BergenT. A.

Берген Татьяна Андреевна — кандидат медицинских наук, доцент кафедры лучевой диагностики

127018, г. Москва, Октябрьская ул., д. 33а; тел.: +7 (913) 907-33-77

Moscow

tbergen@yandex.ruМесропянН. А.MesropyanN. A.

Месропян Нарине Аршаковна — врач-рентгенолог

47051 Duisburg Stapeltor 8 Deutschland

47051 Duisburg Stapeltor 8 Deutschland

m20narine@gmail.comМедицинская школа ЕМСРоссияEMC Medical schoolRussian FederationAllgeier Experts MedicalsГерманияAllgeier Experts MedicalsGermany201820112018032327Copyright © Берген Т.А., Месропян Н.А., 20182018Берген Т.А., Месропян Н.А.Bergen T.A., Mesropyan N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://radiag.bmoc-spb.ru/jour/article/view/318

Дифференциальная диагностика нетравматических внутримозговых кровоизлияний является актуальной проблемой в нейрорадиологии на настоящий момент. В мировой современной практике методы лучевой диагностики часто ограничиваются анатомическим описанием патологии, без учета особенностей этиологии и патогенеза выявленных изменений. В работе проанализированы этиопатогенетические факторы, лежащие в основе внутримозговых нетравматических кровоизлияний, рассмотрены возможности томографии в  дифференциальной диагностике внутримозговых нетравматических кровоизлияний с учетом локализации кровоизлияния и частоты выявления. Помимо этого, в работе проводится разбор наиболее часто встречающихся заблуждений с анализом патологий, которые крайне редко могут являться причиной внутримозгового нетравматического кровоизлияния. В работе приведены типы патологий, которые могут иметь сходные сигнальные характеристики с кровоизлиянием при магнитно-резонансной томографии (МРТ) и компьютерной томографии (КТ).

Differential diagnostics of non-traumatic intracerebral hemorrhages is a critical area of scientific research and development in neuroradiology. In modern clinical practice, diagnostics are often limited to anatomical description of pathology without taking into account its etiology and pathogenesis. This paper analyzes the ethiopathogenetic factors underlying non-traumatic intracranial hemorrhages, as well as the potential of tomography in differential diagnosis of intracerebral non-traumatic hemorrhages with regard to localization and prevalence. Additionally, the paper analyzes the most common misinterpretations in the diagnostics of non-traumatic intracerebral hemorrhages, providing examples of pathologies with different etiologic but similar hallmarks in magnetic resonance imaging (MRI) and computed tomography (CT).

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The authors declare that there are no conflicts of interest present.