Arterial spin labeling shows cortical collateral flow in the endovascular treatment of vasospasm after post-traumatic subarachnoid hemorrhage

被引:14
作者
Altrichter, S. [1 ,2 ]
Kulcsar, Z. [3 ]
Jaegersberg, M. [4 ]
Federspiel, A. [5 ]
Viallon, M.
Schaller, K. [4 ]
Ruefenacht, D. A. [3 ]
Loevblad, K. -O. [1 ,2 ]
机构
[1] Univ Hosp Geneva, DISIM, Dept Radiol, CH-1211 Geneva 14, Switzerland
[2] Univ Hosp Geneva, DISIM, Neuroradiol Sect, CH-1211 Geneva 14, Switzerland
[3] Univ Hosp Geneva, Dept Intervent Neuroradiol, CH-1211 Geneva 14, Switzerland
[4] Univ Hosp Geneva, Dept Neurosurg, CH-1211 Geneva 14, Switzerland
[5] Waldau Univ Hosp, Dept Psychiat, Bern, Switzerland
关键词
Arterial spin labeling; Vasospasm; MRI; Diffusion; Perfusion; Subarachnoid hemorrhage; CEREBRAL VASOSPASM; MR;
D O I
10.1016/j.neurad.2008.11.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report here on the case of a patient who, 10 days prior to his admission to hospital, had suffered a bicycle accident. He presented with signs of minor dysphasia. A brain CT-scan revealed slight subarachnoid hemorrhage (SAH) in the left sylvian fissure as well as narrowing of the distat M1 segment of the left middle cerebral artery (MCA) on CT-angiography. MRI showed diffusion abnormalities and hypoperfusion in the left MCA territory with cortical hyperperfusion on arterial spin labeling (ASL). Arteriography confirmed the vasospasm, but showed no sign of aneurysm. Angioplasty of the narrowed MCA was successful, and follow-up MRI showed reperfusion of the MCA territory. (C) 2008 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:158 / 161
页数:4
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