| Focal laminar cortical infarcts following aneurysmal subarachnoid haemorrhage. | |
| | |
MedLine Citation:
|
PMID: 17922121 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: The aim of this prospective study was to analyse small band-like cortical infarcts after subarachnoid haemorrhage (SAH) using magnetic resonance imaging (MRI) with reference to additional digital subtraction angiography (DSA). METHODS: In a 5-year period between January 2002 and January 2007 10 out of 188 patients with aneurysmal SAH were evaluated (one patient Hunt and Hess grade I, one patient grade II, four patients grade III, two patients grade IV, and two patients grade V). The imaging protocol included serially performed MRI with diffusion- and perfusion-weighted images (DWI/PWI) at three time points after aneurysm treatment, and cerebral vasospasm (CVS) was analysed on follow-up DSA on day 7+/-3 after SAH. RESULTS: The lesions were located in the frontal lobe (n=10), in the insular cortex (n=3) and in the parietal lobe (n=1). The band-like infarcts occurred after a mean time interval of 5.8 days (range 3-10 days) and showed unexceptional adjacent thick sulcal clots. Seven out of ten patients with cortical infarcts had no or mild CVS, and in the remaining three patients DSA disclosed moderate (n=2) or severe (n=1) CVS. CONCLUSION: The infarct pattern after aneurysmal SAH includes cortical band-like lesions. In contrast to territorial infarcts or lacunar infarcts in the white matter which develop as a result of moderate or severe proximal and/or distal vasospasm visible on angiography, the cortical band-like lesions adjacent to sulcal clots may also develop without evidence of macroscopic vasospasm, implying a vasospastic reaction of the most distal superficial and intraparenchymal vessels. |
| | |
Authors:
|
Stefan Weidauer; Hartmut Vatter; Jürgen Beck; Andreas Raabe; Heinrich Lanfermann; Volker Seifert; Friedhelm Zanella |
Publication Detail:
|
Type: Journal Article Date: 2007-10-06 |
Journal Detail:
|
Title: Neuroradiology Volume: 50 ISSN: 1432-1920 ISO Abbreviation: Neuroradiology Publication Date: 2008 Jan |
Date Detail:
|
Created Date: 2007-12-24 Completed Date: 2008-12-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 1302751 Medline TA: Neuroradiology Country: Germany |
Other Details:
|
Languages: eng Pagination: 1-8 Citation Subset: IM |
Affiliation:
|
Institute of Neuroradiology, University of Frankfurt, Schleusenweg 2-16, 60528, Frankfurt, Germany. Stefan.Weidauer@kgu.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Angiography, Digital Subtraction* Blood Flow Velocity / physiology Cerebral Angiography* Cerebral Cortex / blood supply* Cerebral Infarction / diagnosis* Diagnosis, Differential Diffusion Magnetic Resonance Imaging* Dominance, Cerebral / physiology Echo-Planar Imaging Female Humans Image Processing, Computer-Assisted* Intracranial Aneurysm / diagnosis* Magnetic Resonance Angiography* Male Middle Aged Prospective Studies Subarachnoid Hemorrhage / diagnosis* Vasospasm, Intracranial / diagnosis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Acute bilateral basal ganglia lesions in diabetic uraemia: diffusion-weighted MRI.
Next Document: Variations in 123I-metaiodobenzylguanidine (MIBG) late heart mediastinal ratios in chronic heart fai...