Added Value of Arterial Spin Labeling in Detecting Posterior Reversible Encephalopathy Syndrome as a Stroke Mimic on Baseline Neuroimaging: A Single Center Experience

Joseph D. Weinstein, Omar Hamam, Victor C. Urrutia, Hanzhang Lu, Licia P. Luna, Aylin Tekes-Brady, Mona Bahouth, Vivek Yedavalli

Research output: Contribution to journalArticlepeer-review

Abstract

Differentiating stroke from stroke mimics is a diagnostic challenge in every day practice. Posterior Reversible Encephalopathy Syndrome (PRES) is an important stroke mimic with nonspecific symptomatology, making prompt and accurate diagnosis challenging. Baseline neuroimaging plays a pivotal role in detection and differentiation of stroke from many common mimics and is thus critical in guiding appropriate management. In particular, MR perfusion (MRP) imaging modalities provide added value through detection and quantification of multiple physiological parameters. Arterial Spin Labeling (ASL) is a non-contrast, noninvasive MRP technique increasingly used in clinical practice; however, there is limited description of ASL in PRES in the existing literature. In this single center retrospective pilot study, we investigate the added value of ASL in detecting PRES in the largest series to date. We hope this study can serve as the basis for larger scale investigations exploring the utility of ASL in detecting stroke mimics such as PRES for accurate and efficient management of such patients.

Original languageEnglish (US)
Article number831218
JournalFrontiers in Neurology
Volume13
DOIs
StatePublished - Mar 3 2022

Keywords

  • MR perfusion
  • PRES
  • arterial spin labeling
  • perfusion imaging
  • stroke imaging
  • stroke mimic

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Fingerprint

Dive into the research topics of 'Added Value of Arterial Spin Labeling in Detecting Posterior Reversible Encephalopathy Syndrome as a Stroke Mimic on Baseline Neuroimaging: A Single Center Experience'. Together they form a unique fingerprint.

Cite this