Susceptibility Weighted Imaging and Cerebrovascular Disorders

Author:

Tsai Fong Y1,Kao Hung-Wen12,Tsui Yu-Kun3,Hasso A.N.1,Greensite Fred1

Affiliation:

1. Department of Radiology, UC Irvine Medical Center; Orange, CA, USA

2. Department of Radiology, Tri-Service General Hospital, National Defense Medical Center; Taipei, Taiwan

3. Department of Radiology, Chi-Mei Medical Center; Tainan, Taiwan

Abstract

To investigate the correlation between the SWI findings and prognosis of the cerebrovascular disorders. From July 2008 to July 2010, 299 ischemic stroke patients were found in our hospital. The gender ratio is as male and female being 157 to 142. The mean age of all patients is 65.4, mean female age is 69.1, and mean male age is 62.6. There were 86 patients who had satisfactory pre-and post-treatment of CT, MRI with SWI. 23 of these 86 patients had catheter cerebral angiography. 50 of these 86 patients had MR angiogram or CT angiogram. 13 of these 86 patients did not have angiogram. We have also collected 7 severe cardiac arrested and cessation of cerebral circulation and 2 patients with chronic venous hypertension. Among the 86 patients, 23 patients who had negative with deoxygenated vessel on SWI were with small infarction on DWI Thirty-one patients had negative on initial CT head scan. CT finding did not accord with presence of hypointense vessel on SWI. Sixty-three patients had varied degree of abnormal hypointense vessels on SWI as deoxygenated vessels. The initial small foci on DWI may result with a larger infarction if there were with prominent hypointense vessels.

Publisher

SAGE Publications

Subject

Clinical Neurology,Radiology Nuclear Medicine and imaging,General Medicine

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