Subacute and chronic cerebral infarctions: SPECT and gadolinium-DTPA enhanced MR imaging

Single photon emission computed tomography (SPECT) examinations of regional cerebral blood flow (rCBF) and regional cerebral blood volume (rCBV) were carried out in 23 patients with 19 subacute and 7 chronic cerebral infarctions. Corresponding magnetic resonance (MR) examinations (unenhanced and con...

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Veröffentlicht in:Journal of computer assisted tomography 1989-07, Vol.13 (4), p.567-571
Hauptverfasser: CORDES, M, HENKES, H, ROLL, D, EICHSTÄDT, H, CHRISTE, W, LANGER, M, FELIX, R
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container_end_page 571
container_issue 4
container_start_page 567
container_title Journal of computer assisted tomography
container_volume 13
creator CORDES, M
HENKES, H
ROLL, D
EICHSTÄDT, H
CHRISTE, W
LANGER, M
FELIX, R
description Single photon emission computed tomography (SPECT) examinations of regional cerebral blood flow (rCBF) and regional cerebral blood volume (rCBV) were carried out in 23 patients with 19 subacute and 7 chronic cerebral infarctions. Corresponding magnetic resonance (MR) examinations (unenhanced and contrast enhanced scans) were done within a time interval of 2 days. Although all subacute lesions showed an increased rCBV, the rCBF could be either increased or decreased. Contrast enhancement in MR was associated with increased rCBV but not with increased rCBF. In all chronic lesions rCBV and rCBF were decreased and there was no contrast enhancement detectable in MR. The application of Gd-diethylenetriamine pentaacetic acid as contrast agent in MR demonstrates blood-brain barrier disruption as focal or gyral contrast enhancement in cerebral infarction. The SPECT examinations revealed an increased rCBV indicating a vasodilation or vasoparalysis. The rCBF was either increased or decreased depending on the collateral formation or recanalization of occluded vessels.
doi_str_mv 10.1097/00004728-198907000-00003
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source MEDLINE; Journals@Ovid Ovid Autoload
subjects Adult
Aged
Biological and medical sciences
Cerebral Infarction - diagnosis
Cerebrovascular Circulation
Chronic Disease
Contrast Media
Female
Gadolinium
Gadolinium DTPA
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Neurology
Organometallic Compounds
Pentetic Acid
Tomography, Emission-Computed
Vascular diseases and vascular malformations of the nervous system
title Subacute and chronic cerebral infarctions: SPECT and gadolinium-DTPA enhanced MR imaging
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