Delayed signal detection by diffusion-weighted imaging in brainstem infarction

Autor: Adam Silvers, Cheuk Y. Tang, Stanley Tuhrim, Martin Begemann
Rok vydání: 2001
Předmět:
Zdroj: Journal of Stroke and Cerebrovascular Diseases. 10:284-289
ISSN: 1052-3057
DOI: 10.1053/jscd.2001.124778
Popis: Diffusion-weighted magnetic resonance imaging (DW MRI) is a sensitive and specific technique for imaging acute hemispheric infarction. Its utility in the diagnosis of acute brainstem infarction has not been well studied. We present 3 cases of brainstem infarction in which DW MRI performed 5 to 15 hours after symptom onset failed to reveal any abnormality. Repeat diffusion-weighted imaging (DWI) 2 to 5 days later did demonstrate an abnormality in the clinically appropriate region in each instance. This suggests that the time course to the development of abnormalities detectable by DWI may be longer in brainstem than in hemispheric infarctions. Therefore, repeat studies after initially negative DWI might be useful in the diagnosis of brainstem infarctions. Copyright © 2001 by National Stroke Association
Databáze: OpenAIRE