Nadezhda Shalyakina

Gemorragicheskaya Transformatsiya Infarkta Mozga: Neyrovizualizatsiya Gemorragicheskikh Oslozhneniy Infarkta Mozga V Ostrom Periode Ishemicheskogo Insul'ta V Karotidnoy Sisteme Nadezhda Shalyakina Russian edition

Sredi aktual'nykh i prioritetnykh problem angionevrologii mozgovoy insul't prochno uderzhivaet lidiruyushchee polozhenie v svyazi s ego vysokoy mediko- sotsial'noy znachimost'yu. V Rossii v poslednee desyatiletie otmechaetsya tendentsiya k uvelicheniyu chastoty mozgovogo insul'ta u lits trudosposobnogo vozrasta. Letal'nost' v ostrom periode mozgovogo insul'ta v Rossii dostigaet v srednem 30-44%. Prichinoy smerti v ostrom periode ishemicheskogo insul'ta v karotidnoy sisteme v 15-58% sluchaev yavlyaetsya gemorragicheskaya transformatsiya ochaga infarkta, chastota i veroyatnost' razvitiya kotoroy korreliruet s patogeneticheskim kharakterom insul'ta, lokalizatsiey i ob"emom porazheniya mozga. Dostovernaya rannyaya verifikatsiya istinnogo kharaktera mozgovogo insul'ta kak ishemicheskogo v 87-96%, a vyyavlenie GTI kak oslozhneniya ostrogo ego perioda v 58-70% sluchaev vozmozhny tol'ko metodami luchevoy diagnostiki. Po literaturnym dannym do sikh por net edinogo mneniya po voprosu predpochteniya KT ili MRT dlya bolee tochnoy diagnostiki gemorragicheskikh oslozhneniy ostrogo perioda ishemicheskogo insul'ta, optimal'nym srokam i kratnosti provedeniya luchevykh issledovaniy.