Document Detail


CT angiography and diffusion-perfusion MR imaging in a patient with ipsilateral reversible cerebral vasoconstriction after carotid endarterectomy.
MedLine Citation:
PMID:  17494670     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Reversible cerebral vasoconstriction syndromes (RCVS) typically affect the bilateral medium-sized intracerebral arteries and their branches. We describe a woman with RCVS restricted to the ipsilateral hemisphere after carotid endarterectomy. Serial CT angiography proved useful in documenting vasoconstriction. Perfusion MR imaging showed hypoperfusion in the deep watershed regions of the ipsilateral cerebral arteries but relatively normal perfusion in superficial cortical regions. Diffusion MR imaging showed progressive borderzone infarcts. These novel imaging findings provide insights into the pathophysiology of stroke in RCVS.
Authors:
M H Rosenbloom; A B Singhal
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  28     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-14     Completed Date:  2007-07-25     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  920-2     Citation Subset:  IM    
Affiliation:
Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA.
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MeSH Terms
Descriptor/Qualifier:
Carotid Stenosis / surgery
Cerebral Angiography*
Cerebral Infarction / etiology,  pathology*,  radiography*
Diffusion Magnetic Resonance Imaging*
Endarterectomy, Carotid / adverse effects*
Female
Functional Laterality
Humans
Middle Aged
Postoperative Complications / etiology,  pathology,  radiography
Tomography, X-Ray Computed*
Vasoconstriction

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