@article {Fandler-H {\“o} fler10.1212 / WNL。0000000000207510,作者={作者(年代):西蒙Fandler-H {\“o} fl和莉娜Obergottsberger Gareth Ambler和塞巴斯蒂安·埃平Gerit W {\“u} nsch Markus Kneihsl和大卫Seiffge Gargi Banerjee和邓肯·威尔逊和菲利普·纳什和汉斯·鲁道夫·J{\”}蒙古包和克里斯Enzinger大卫回答和托马斯·Gattringer}, title ={协会的存在和MRI脑小血管疾病的标记模式与复发性脑出血},elocation-id = {10.1212 / WNL。={2023}0000000000207510},年,doi = {10.1212 / WNL。出版商0000000000207510}= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={背景:复发性脑出血的风险评估(我)的临床重要性。半岛投注体育官网mri脑小血管疾病(圣)标记可以帮助建立我病因亚型(包括不明原因引起的我)相关的复发风险。方法:我们研究了复发的风险,我在一个大的连续我幸存者可用MRI在基线。患者macrovascular、结构或其他识别次要原因(除了圣言)被排除在外。基于核磁共振发现,我病因被定义为可能的脑淀粉样血管病(CAA)根据波士顿2.0标准,小动脉硬化(non-lobar我小动脉硬化和额外的标记,没有大叶性出血性病变),混合圣言(混合深度和大叶性出血性变化)或不明原因引起的(没有MRI圣言的标志)。复发我决定使用电子健康记录和证实了神经影像。数据从一个独立的多中心队列(CROMIS-2我)被用来证实核心发现。与我的结果:443名患者(平均年龄67 {\ textpm} 13年,41 \ %的女性),我病因是复杂的计算在36.7 \ %,小动脉硬化在23.6 \ %,在23.0 \ %创新艺人经纪公司,隐在16.7 \ %。在一个平均5.7年的随访期间(IQR 2.9 - -10.0, 2682(),我发现复发59个人病人(13.3 \ %)。 The highest recurrence rate per 100 person-years was detected in patients with CAA (8.5, 95\% CI 6.1-11.7), followed by mixed SVD (1.8, 95\% CI 1.1-2.9) and arteriolosclerosis (0.6, 95\% CI 0.3-1.5). No recurrent ICH occurred in patients with cryptogenic ICH during 510 person-years follow-up (97.5\% CI, 0-0.7); this finding was confirmed in an independent cohort (CROMIS-2 ICH, n=216), in which there was also no recurrence in patients with cryptogenic ICH. In patients with CAA, cortical superficial siderosis was the imaging feature strongest related with ICH recurrence (hazard ratio 5.7, 95\% CI 2.4-13.6).Conclusions: MRI-based etiological subtypes are helpful in determining the recurrence risk of ICH; while the highest recurrence risk was found in CAA, recurrence risk was low for arteriolosclerosis, and negligible for cryptogenic ICH.}, issn = {0028-3878}, URL = {//www.ebmtp.com/content/early/2023/06/22/WNL.0000000000207510}, eprint = {//www.ebmtp.com/content/early/2023/06/22/WNL.0000000000207510.full.pdf}, journal = {Neurology} }