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논문KCI 등재

뇌혈관조영술에서 연질막 곁순환이 관찰된 급성 중간대뇌동맥경색 환자의 액체감쇠반전회복 뇌자기공명영상에서 보이는 고신호강도 혈관

Hyperintense Vessels on FLAIR MRI in Patients With Acute Middle Cerebral Artery Infarction Revealed Pial Collateral on Cerebral Angiography

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참고문헌

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주제분류신경과학

초록

Hyperintense vessels are frequently observed on fluid-attenuated inversion recovery imaging in acute ischemic stroke patients. Some investigators suggest that a hyperintense vessel sign in patients with middle cerebral arterial occlusion results from collateral blood flow originating in neighboring arterial territories, especially via pial collaterals. We report two cases of acute proximal middle cerebral arterial infarction that exhibited hyperintense vessels signs on fluid-attenuated inversion recovery imaging accompanying pial collaterals as confirmed by cerebral angiography.

Abstract

Hyperintense vessels are frequently observed on fluid-attenuated inversion recovery imaging in acute ischemic stroke patients. Some investigators suggest that a hyperintense vessel sign in patients with middle cerebral arterial occlusion results from collateral blood flow originating in neighboring arterial territories, especially via pial collaterals. We report two cases of acute proximal middle cerebral arterial infarction that exhibited hyperintense vessels signs on fluid-attenuated inversion recovery imaging accompanying pial collaterals as confirmed by cerebral angiography.

참고문헌 (10)

  1. Kamran S, "Significance of hyperintense vessels on FLAIR MRI in acute stroke", Neurology, 55, pp.265~269 (2000)
  2. Toyoda K, "Fluid-attenuated inversion recovery intraarterial signal: an early sign of hyperacute cerebral ischemia", AJNR Am J Neuroradiol, 22, pp.1021~1029 (2001)
  3. Lee KY, "Distal hyperintense vessels on FLAIR: an MRI marker for collateral circulation in acute stroke?", Neurology, 72, pp.1134~1139 (2009)
  4. 최희찬, "중뇌동맥영역뇌경색환자의FLAIR영상에서보이는동맥내고신호", 대한뇌졸중학회지, 6(1), pp.50~56 (2004), 대한뇌졸중학회
  5. Sanossian N, "Angiography reveals that fluid-attenuated inversion recovery vascular hyperintensities are due to slow flow, not thrombus", AJNR Am J Neuroradiol, 30, pp.564~568 (2009)
  6. Maeda M, "Time course of arterial hyperintensity with fast fluid-attenuated inversion-recovery imaging in acute and subacute middle cerebral arterial infarction", J Magn Reson Imaging, 13, pp.987~990 (2001)
  7. Girot M, "Prognostic value of hyperintense vessel signals on fluid-attenuated inversion recovery sequences in acute cerebral ischemia", Eur Neurol, 57, pp.75~79 (2007)
  8. Schellinger PD, "Diagnostic and prognostic value of early MR Imaging vessel signs in hyperacute stroke patients imaged <3 hours and treated with recombinant tissue plasminogen activator", AJNR Am J Neuroradiol, 26, pp.618~624 (2005)
  9. Liebeskind DS, "Location, location, location: angiography discerns early MR imaging vessel signs due to proximal arterial occlusion and distal collateral flow", AJNR Am J Neuroradiol, 26, pp.2432~2433 (2005)
  10. Christoforidis GA, "Angiographic assessment of pial collaterals as a prognostic indicator following intra-arterial thrombolysis for acute ischemic stroke", AJNR Am J Neuroradiol, 26, pp.1789~1797 (2005)

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