- 뇌졸중의 전산화단층촬영에 관한 소견
- ㆍ 저자명
- 강명석
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1982년|18권 1호|pp.49-56 (8 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Computed tomography (CT) is a noninvasive and highly valuable method in the diagnosis of intracerebral vascular accidents. Authors analysed 200 cases of clinically suspected cerebrovascular accident (CVA) who were performed CT scan from April 1980 to June 1981. The results were as follows: 1. The analysis of CT finding in 200 cases of clinically suspected CVA showed 129 cases(64.5%) of definite CVA, 53 cases of normal finding, 8 cases of equivocal finding and 10 cases of miscellaneous disease. 2. Among CVA positive finding of 129 cases, intracerebral hemorrhage was noted in 61 cases(47.3%), cerebral infarction in 39 cases(30.2%) and subarachnoid hemorrhage in 29 cases(22.5%). 3. The most prevalent age group was 6th decade in intracerebral hemorrhage and subarachnoid hemorrhage, but 7th decade in cerebral infarction. The sex ratio between male and female in intracerebral hemorrhage and subarachnoid hemorrhage was 1:1 and 1:1.6 respectively, but in cerebral infarction male was predominant with the ratio of 3:1. 4. The most common sites of involvement was basal ganglia(30.7%) in infarction. 5. Among 33 cases of subarachnoid hemorrhage confirmed by spinal tapping, 25 cases(75.8%) showed CT positive finding and 8 cases (24.2%) CT negative finding. Most cases of CT positive finding were performed CT scan within a week. 6. In cerebral infarction, the earliest detectable time by CT scan was 7 hours after onset; and the mass effect of the lesion was observed in 44% of cases, mostly (82%) within a week. The contrast enhancement of the cerebral infarct was demonstrated in 19% of cases mostly between 3 days and 30 days after onset.