Early Changes in Tissue Perfusion After Tissue Plasminogen Activator Administration in Hyperacute Ischemic Stroke: Initial Experiences With Arterial Spin Labeling Perfusion Magnetic Resonance Imaging
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- RAHMAH Nunung Nur
- Department of Neurosurgery, Shinshu University School of Medicine
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- HORIUCHI Tetsuyoshi
- Department of Neurosurgery, Shinshu University School of Medicine
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- KUSANO Yoshikazu
- Department of Neurosurgery, Shinshu University School of Medicine
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- SEGUCHI Tatsuya
- Seguchi Neurosurgical Hospital
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- HANAOKA Yoshiki
- Seguchi Neurosurgical Hospital
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- AOYAMA Tatsuro
- Seguchi Neurosurgical Hospital
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- HONGO Kazuhiro
- Department of Neurosurgery, Shinshu University School of Medicine
書誌事項
- タイトル別名
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- —Two Case Reports—
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抄録
Cerebral perfusion monitoring is an important component of hyperacute stroke treatment. Arterial spin labeling (ASL) perfusion magnetic resonance (MR) imaging provides a noninvasive method of cerebral perfusion observation. Rapid changes in cerebral perfusion were demonstrated in two patients admitted one hour after onset of hyperacute stroke who underwent recombinant tissue plasminogen activator (rt-PA) treatment. Serial MR images and ASL images were taken on admission and after rt-PA administration. Cerebral blood flow (CBF) values were obtained using the CBF workstation and analysis software. Interpretable ASL images were taken in both patients. Perfusion deficits were consistent with symptoms and/or MR angiography imaging abnormalities. Delayed arterial transit effect was present in one patient; serial imaging showed improvement of CBF after rt-PA treatment in both patients. ASL perfusion MR imaging can provide rapid noninvasive multislice imaging in hyperacute ischemic stroke, and can depict early perfusion deficit and quantify regional CBF concomitantly.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 53 (4), 213-216, 2013
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680035232512
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- NII論文ID
- 10031151332
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- NII書誌ID
- AN00358613
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- COI
- 1:STN:280:DC%2BC3srot1anug%3D%3D
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- ISSN
- 13498029
- 04708105
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- HANDLE
- 10091/17629
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- PubMed
- 23615409
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- IRDB
- Crossref
- PubMed
- CiNii Articles
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- 使用不可