Document Detail


Hyperintense punctiform images in the white matter: a diagnostic approach.
MedLine Citation:
PMID:  22284561     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The presence of hyperintense punctiform images in the white matter in T2 weighted magnetic resonance (MR) sequences is a very common finding and is occasionally a diagnostic challenge for the radiologist. The present article attempts, using an anatomical approach to the brain circulation, as well as from histopathology correlation studies, to simplify the task of interpreting these images from the description of the three main patterns of hyperintense punctiform images in the white matter: vascular pattern, which corresponds to microvascular lesions; perivascular pattern, which represents inflammatory disease of which the paradigm is multiple sclerosis; and a non-specific pattern, which has to be a microvascular disease. From the various semiological elements in the MR images, a predominant pattern can be determined in each case and, in this way, helps in the differential diagnosis.
Authors:
S Medrano Martorell; M Cuadrado Blázquez; D García Figueredo; S González Ortiz; J Capellades Font
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-25
Journal Detail:
Title:  Radiologia     Volume:  -     ISSN:  0033-8338     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0120775     Medline TA:  Radiologia     Country:  -    
Other Details:
Languages:  ENG; SPA     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 SERAM. Published by Elsevier Espana. All rights reserved.
Affiliation:
Servicio de Radiodiagnóstico, Hospital del Mar/IDIMAR-CRC Mar, Barcelona, España.
Vernacular Title:
Imágenes puntiformes hiperintensas en la sustancia blanca: una aproximación diagnóstica.
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