Prognostic value of hyperintense vessel signals on fluid-attenuated inversion recovery sequences in acute cerebral ischemia

被引：38

作者：

Girot, Marie

Gauvrit, Jean-Yves

Cordonnier, Charlotte

Pruvo, Jean-Pierre

Verdelho, Ana

Leys, Didier ^{[1
]}

Leclerc, Xavier

机构：

[1] Ctr Hosp Reg & Univ Lille, Dept Neurol, Lille, France

[2] Ctr Hosp Reg & Univ Lille, Dept Neuroradiol, Lille, France

来源：

EUROPEAN NEUROLOGY | 2007年 / 57卷 / 02期

关键词：

fluid-attenuated inversion recovery; hyperintense vessel signals; FLAIR MRI; STROKE; DIAGNOSIS;

D O I：

10.1159/000098055

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Fluid-attenuated inversion recovery (FLAIR) sequences may reveal hyperintense vessel signals (HVS) at the acute stage of cerebral ischemia. The aim of this study was to test the hypothesis that HVS are associated with a worse outcome. Methods: We included 30 consecutive patients admitted within 12 h after onset of hemispheric cerebral ischemia. The outcome was assessed with the modified Rankin Scale at month 1. Results: Proximal HVS were present in 9 patients and distal HVS in 16. All patients with proximal occlusions on time-of-flight sequences had distal HVS on FLAIR. Patients with poor outcome at month 1 (modified Rankin Scale 3-6) more frequently had had HVS on MRI (12/13 vs. 4/17; p < 0.001). Conclusion: Distal HVS found on FLAIR sequences within 12 h of acute cerebral ischemia are associated with a worse 1-month outcome. Copyright (c) 2007 S. Karger AG, Basel.

引用

页码：75 / 79

页数：5

共 15 条

[1] CLASSIFICATION OF SUBTYPE OF ACUTE ISCHEMIC STROKE - DEFINITIONS FOR USE IN A MULTICENTER CLINICAL-TRIAL [J].

ADAMS, HP ;

BENDIXEN, BH ;

KAPPELLE, LJ ;

BILLER, J ;

LOVE, BB ;

GORDON, DL ;

MARSH, EE ;

KASE, CS ;

WOLF, PA ;

BABIKIAN, VL ;

LICATAGEHR, EE ;

ALLEN, N ;

BRASS, LM ;

FAYAD, PB ;

PAVALKIS, FJ ;

WEINBERGER, JM ;

TUHRIM, S ;

RUDOLPH, SH ;

HOROWITZ, DR ;

BITTON, A ;

MOHR, JP ;

SACCO, RL ;

CLAVIJO, M ;

ROSENBAUM, DM ;

SPARR, SA ;

KATZ, P ;

KLONOWSKI, E ;

CULEBRAS, A ;

CAREY, G ;

MARTIR, NI ;

FICARRA, C ;

HOGAN, EL ;

CARTER, T ;

GURECKI, P ;

MUNTZ, BK ;

RAMIREZLASSEPAS, M ;

TULLOCH, JW ;

QUINONES, MR ;

MENDEZ, M ;

ZHANG, SM ;

ALA, T ;

JOHNSTON, KC ;

ANDERSON, DC ;

TARREL, RM ;

NANCE, MA ;

BUDLIE, SR ;

DIERICH, M ;

HELGASON, CM ;

HIER, DB ;

SHAPIRO, RA .

STROKE, 1993, 24 (01) :35-41

[2] Yield of diffusion-weighted MRI for detection of potentially relevant findings in stroke patients [J].

Albers, GW ;

Lansberg, MG ;

Norbash, AM ;

Tong, DC ;

O'Brien, MW ;

Woolfenden, AR ;

Marks, MP ;

Moseley, ME .

NEUROLOGY, 2000, 54 (08) :1562-1567

[3] RECOVERY OF MOTOR FUNCTION AFTER STROKE [J].

BONITA, R ;

BEAGLEHOLE, R .

STROKE, 1988, 19 (12) :1497-1500

[4] Fast FLAIR sequence for detecting major vascular abnormalities during the hyperacute phase of stroke: a comparison with MR angiography [J].

Cosnard, G ;

Duprez, T ;

Grandin, C ;

Smith, AM ;

Munier, T ;

Peeters, A .

NEURORADIOLOGY, 1999, 41 (05) :342-346

[5] Fluid-attenuated inversion recovery (FLAIR) sequences for the assessment of acute stroke - Inter observer and inter technique reproducibility [J].

Gauvrit, JY ;

Leclerc, X ;

Girot, M ;

Cordonnier, C ;

Sotoares, G ;

Henon, H ;

Pertuzon, B ;

Michelin, E ;

Devos, D ;

Pruvo, JP ;

Leys, D .

JOURNAL OF NEUROLOGY, 2006, 253 (05) :631-635

[6] Evaluation of hyperintense vessels on FLAIR MRI for the diagnosis of multiple intracerebral arterial stenoses [J].

Iancu-Gontard, D ;

Oppenheim, C ;

Touzé, E ;

Méary, E ;

Zuber, M ;

Mas, JL ;

Frédy, D ;

Meder, JF .

STROKE, 2003, 34 (08) :1886-1891

[7] Significance of hyperintense vessels on FLAIR MRI in acute stroke [J].

Kamran, S ;

Bates, V ;

Bakshi, R ;

Wright, P ;

Kinkel, W ;

Miletich, R .

NEUROLOGY, 2000, 55 (02) :265-269

[8]

Lovblad KO, 1998, AM J NEURORADIOL, V19, P1061

[9] IMPROVED RELIABILITY OF THE NIH STROKE SCALE USING VIDEO TRAINING [J].

LYDEN, P ;

BROTT, T ;

TILLEY, B ;

WELCH, KMA ;

MASCHA, EJ ;

LEVINE, S ;

HALEY, EC ;

GROTTA, J ;

MARLER, J .

STROKE, 1994, 25 (11) :2220-2226

[10] Time course of arterial hyperintensity with fast fluid-attenuated inversion-recovery imaging in acute and subacute middle cerebral arterial infarction [J].

Maeda, M ;

Koshimoto, Y ;

Uematsu, H ;

Yamada, H ;

Kimura, H ;

Kawamura, Y ;

Itoh, H ;

Sakuma, H ;

Takeda, K .

JOURNAL OF MAGNETIC RESONANCE IMAGING, 2001, 13 (06) :987-990

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