Authors
Mahmud Mossa-Basha, William D Hwang, Adam De Havenon, Daniel Hippe, Niranjan Balu, Kyra J Becker, David T Tirschwell, Thomas Hatsukami, Yoshimi Anzai, Chun Yuan
Publication date
2015/6
Journal
Stroke
Volume
46
Issue
6
Pages
1567-1573
Publisher
Lippincott Williams & Wilkins
Description
Background and Purpose
Although studies have attempted to differentiate intracranial vascular disease using vessel wall magnetic resonance imaging (VWI), none have incorporated multicontrast imaging. This study uses T1- and T2-weighted VWI to differentiate intracranial vasculopathies.
Methods
We retrospectively reviewed patients with clinically defined intracranial vasculopathies causing luminal stenosis/irregularity who underwent VWI studies. Two blinded experts evaluated T1 precontrast and postcontrast and T2-weighted VWI characteristics, including the pattern of wall thickening; presence, pattern, and intensity of postcontrast enhancement; and T2 signal characteristics.
Results
Twenty-one cases of atherosclerosis (intracranial atherosclerotic disease [ICAD]), 4 of reversible cerebral vasoconstriction syndrome, and 4 of vasculitis were identified, with a total of 118 stenotic lesions (81 ICAD, 22 reversible …
Total citations
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