Document Detail


Reversible ischemia determined by xenon-enhanced CT after 90 minutes of complete basilar artery occlusion.
MedLine Citation:
PMID:  9874552     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intraarterial thrombolytic therapy decreases mortality in the treatment of acute basilar artery occlusion. An acute decrease in cerebral blood flow (CBF) (<12 mL/100 g per minute) has been reported to invariably result in infarction. We report a case of acute basilar artery occlusion, recanalized within 90 minutes, with reversal of CBF of less than 6 mL/100 g per minute. After reperfusion, areas with persistent CBF of 6 mL/100 g per minute resulted in infarctions on subsequent CT studies. Parenchymal viability is possible after 90 minutes of posterior CBF of 6 mL/100 g per minute.
Authors:
E I Levy; A M Scarrow; E Kanal; G Rubin; H Yonas; L Kirby
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  19     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:    1998 Nov-Dec
Date Detail:
Created Date:  1999-03-03     Completed Date:  1999-03-03     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:  1943-6     Citation Subset:  IM    
Affiliation:
Department of Neurological Surgery, Presbyterian University Hospital, The University of Pittsburgh Medical Center, PA 15213, USA.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Brain / radiography
Cerebral Angiography
Cerebrovascular Circulation
Contrast Media*
Humans
Male
Middle Aged
Thrombolytic Therapy
Tomography, X-Ray Computed*
Vertebrobasilar Insufficiency / drug therapy,  physiopathology,  radiography*
Xenon / diagnostic use*
Chemical
Reg. No./Substance:
0/Contrast Media; 7440-63-3/Xenon
Comments/Corrections
Comment In:
AJNR Am J Neuroradiol. 1998 Nov-Dec;19(10):1947-8   [PMID:  9874553 ]
AJNR Am J Neuroradiol. 1999 Nov-Dec;20(10):2023-4   [PMID:  10588140 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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