Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_2589_Библиотеки_им_академика_М_И_Перельмана

phy (b), as well as in the ‘late’ phase uorescein angiography (c) and indocyanine green angiography (d)

Ever since intracerebral haemorrhage was ascribed to miliary aneurysms of the brain, the pathogenesis of intracerebral haemorrhage has remained controversial for nearly 150years [60]. Using a postmortem brain imaging technique rst described by [61], Cole and Yates [62] described intracerebral arterial microaneurysms by X-raying 5mm thick coronal slices after per­fusing the arteries of the freshly removed brains with a barium-gelatin radiopaque dye. They found fusiform and saccular arterial microaneu­rysms varying from 50 to 2000μm in 46% of the hypertensive patients and only 7% of the gender and age-matched normotensives. Like the RAMs seen in the eye, most of these aneurysms were seen in ages 65–74. Of the 20 brains seen with massive intracerebral haemorrhage, 18 had asso­ciated intracerebral arterial aneurysms, most of which were in the brains of hypertensive patients [62]. Whereas the RAMs in the eye are clearly shown to result in either exudation or intraocular haemorrhage, the question remains whether simi­lar aneurysms seen in the brain are incidental.