허혈성 뇌혈관질환에서 자기공명혈관조영술의 가치에 대한 임상연구

Intracranial Magnetic Resonance Angiography-Its Role in the Approach to Ischemic Stroke

  • 임동준 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 조태형 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 정용구 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 김백현 (고려대학교 의과대학 안산병원 진단방사선과학교실) ;
  • 김근회 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 김세훈 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 권택현 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 정흥섭 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 박정율 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 박윤관 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 이훈갑 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 이기찬 (고려대학교 의과대학 안산병원 신경외과학교실) ;
  • 서중근 (고려대학교 의과대학 안산병원 신경외과학교실)
  • Lim, Dong-Jun (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Cho, Tae-Hyoung (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Chung, Yong-Gu (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Kim, Baek-Hyun (Department of Radiology, Ansan Hospital, Korea University) ;
  • Kim, Keun-Hoe (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Kim, Se-Hoon (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Kwon, Taek-Hyun (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Chung, Heung-Seob (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Park, Jung-Yul (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Park, Youn-Kwan (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Lee, Hoon-Kap (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Lee, Ki-Chan (Department of Neurosurgery, Ansan Hospital, Korea University) ;
  • Suh, Jung-Keun (Department of Neurosurgery, Ansan Hospital, Korea University)
  • 투고 : 2000.08.08
  • 심사 : 2000.11.07
  • 발행 : 2000.08.28

초록

Objectives : To determine the contribution of cranial magnetic resonance angiography(MRA) for the evaluation of patients with ischemic cerebrovascular accident. Methods : Magnetic resonance image(MRI) and MRA studies performed on 34 patients with ischemic stroke were retrospectively reviewed with the clinical records. Results : There were 9 transient ischemic attacks and 25 completed strokes in our series. Twenty-three of 34 MRA examinations(68%) were positive for stenosis or occlusion. The distribution of stenotic or occlusive vascular lesions were correlated with the location of infarction in 22 of the 23 positive cases(96%). MRA provided additional information not obtained from the MRI in 19 cases(56%). Conclusions : Vascular lesions demonstrated on intracranial MRA show a high correlation with infarct distribution. MRA provided information adjunctive to conventional MRI in a majority of cases. We conclude that MRA is an important noninvasive component of the complete evaluation of ischemic stroke.

키워드