Advanced imaging assessment of posterior circulation stroke before and after endovascular intervention

Asif A. Khan; Joseph Gatlin; Hartmut Uschmann; Gustavo Luzardo; Razvan Buciuc; Majid Khan

doi:10.1007/s12028-010-9419-1

Advanced imaging assessment of posterior circulation stroke before and after endovascular intervention

Asif A. Khan, Joseph Gatlin, Hartmut Uschmann, Gustavo Luzardo, Razvan Buciuc, Majid Khan

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Background: Perfusion-computed tomography (CTP) is a relatively new technique that allows rapid semiquantitative noninvasive evaluation of cerebral perfusion aiding in the diagnosis of cerebral ischemia and infarction. There is a paucity of data on its application within the posterior circulation, especially, the brainstem. We describe a case of basilar artery thrombosis with cerebellar and brainstem CTP mismatch and discuss possible future applications of CTP for acute posterior fossa circulation and infarction. Methods: Case report. Results: Successful use of CTP to aid in decision to proceed with neurointervention in acute basilar artery occlusion and confirm its resolution after mechanical clot retrieval. Conclusion: Perfusion-computed tomography can successfully be used to define cerebral ischemia and infarction within the posterior fossa and aid in decisions to proceed with neurointervention.

Original language	English (US)
Pages (from-to)	407-410
Number of pages	4
Journal	Neurocritical care
Volume	13
Issue number	3
DOIs	https://doi.org/10.1007/s12028-010-9419-1
State	Published - Dec 2010
Externally published	Yes

Keywords

Basilar
Brainstem
Mismatch
Perfusion-computed tomography

ASJC Scopus subject areas

Clinical Neurology
Critical Care and Intensive Care Medicine

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10.1007/s12028-010-9419-1

Cite this

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title = "Advanced imaging assessment of posterior circulation stroke before and after endovascular intervention",

abstract = "Background: Perfusion-computed tomography (CTP) is a relatively new technique that allows rapid semiquantitative noninvasive evaluation of cerebral perfusion aiding in the diagnosis of cerebral ischemia and infarction. There is a paucity of data on its application within the posterior circulation, especially, the brainstem. We describe a case of basilar artery thrombosis with cerebellar and brainstem CTP mismatch and discuss possible future applications of CTP for acute posterior fossa circulation and infarction. Methods: Case report. Results: Successful use of CTP to aid in decision to proceed with neurointervention in acute basilar artery occlusion and confirm its resolution after mechanical clot retrieval. Conclusion: Perfusion-computed tomography can successfully be used to define cerebral ischemia and infarction within the posterior fossa and aid in decisions to proceed with neurointervention.",

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T1 - Advanced imaging assessment of posterior circulation stroke before and after endovascular intervention

AU - Khan, Asif A.

AU - Gatlin, Joseph

AU - Uschmann, Hartmut

AU - Luzardo, Gustavo

AU - Buciuc, Razvan

AU - Khan, Majid

PY - 2010/12

Y1 - 2010/12

N2 - Background: Perfusion-computed tomography (CTP) is a relatively new technique that allows rapid semiquantitative noninvasive evaluation of cerebral perfusion aiding in the diagnosis of cerebral ischemia and infarction. There is a paucity of data on its application within the posterior circulation, especially, the brainstem. We describe a case of basilar artery thrombosis with cerebellar and brainstem CTP mismatch and discuss possible future applications of CTP for acute posterior fossa circulation and infarction. Methods: Case report. Results: Successful use of CTP to aid in decision to proceed with neurointervention in acute basilar artery occlusion and confirm its resolution after mechanical clot retrieval. Conclusion: Perfusion-computed tomography can successfully be used to define cerebral ischemia and infarction within the posterior fossa and aid in decisions to proceed with neurointervention.

AB - Background: Perfusion-computed tomography (CTP) is a relatively new technique that allows rapid semiquantitative noninvasive evaluation of cerebral perfusion aiding in the diagnosis of cerebral ischemia and infarction. There is a paucity of data on its application within the posterior circulation, especially, the brainstem. We describe a case of basilar artery thrombosis with cerebellar and brainstem CTP mismatch and discuss possible future applications of CTP for acute posterior fossa circulation and infarction. Methods: Case report. Results: Successful use of CTP to aid in decision to proceed with neurointervention in acute basilar artery occlusion and confirm its resolution after mechanical clot retrieval. Conclusion: Perfusion-computed tomography can successfully be used to define cerebral ischemia and infarction within the posterior fossa and aid in decisions to proceed with neurointervention.

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KW - Mismatch

KW - Perfusion-computed tomography

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Advanced imaging assessment of posterior circulation stroke before and after endovascular intervention

Abstract

Keywords

ASJC Scopus subject areas

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