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Cerebrovascular Ischemia
Akiva Mintz, MD, PhD, MHA, CFA; Colin Segovis, MD, PhD
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KEY FACTS

  • Imaging

    TERMINOLOGY

    • Definitions

      • Decrease or interruption of blood supply to brain

    IMAGING

    • Nuclear Medicine Findings

      • Imaging Recommendations

        DIAGNOSTIC CHECKLIST

        • Consider

          Selected References

          1. Sorteberg A: Balloon occlusion tests and therapeutic vessel occlusions revisited: when, when not, and how. AJNR Am J Neuroradiol. 35(5):862-5, 2014
          2. Vagal AS et al: The acetazolamide challenge: techniques and applications in the evaluation of chronic cerebral ischemia. AJNR Am J Neuroradiol. 30(5):876-84, 2009
          3. Hori M et al: The magnetic resonance Matas test: Feasibility and comparison with the conventional intraarterial balloon test occlusion with SPECT perfusion imaging. J Magn Reson Imaging. 21(6):709-14, 2005
          4. Lampl Y et al: Prognostic significance of blood brain barrier permeability in acute hemorrhagic stroke. Cerebrovasc Dis. 20(6):433-7, 2005
          5. Maulaz A et al: Selecting patients for early stroke treatment with penumbra images. Cerebrovasc Dis. 20 Suppl 2:19-24, 2005
          6. Sitburana O et al: Magnetic resonance imaging: implication in acute ischemic stroke management. Curr Atheroscler Rep. 7(4):305-12, 2005
          7. Ueda T et al: Single-photon emission CT imaging in acute stroke. Neuroimaging Clin N Am. 15(3):543-51, x, 2005
          8. Mahagne MH et al: Voxel-based mapping of cortical ischemic damage using Tc 99m L,L-ethyl cysteinate dimer SPECT in acute stroke. J Neuroimaging. 14(1):23-32, 2004
          9. Latchaw RE et al: Guidelines and recommendations for perfusion imaging in cerebral ischemia: A scientific statement for healthcare professionals by the writing group on perfusion imaging, from the Council on Cardiovascular Radiology of the American Heart Association. Stroke. 34(4):1084-104, 2003
          10. Rudd JH et al: Imaging atherosclerotic plaque inflammation with [18F]-fluorodeoxyglucose positron emission tomography. Circulation. 105(23):2708-11, 2002
          11. Sugawara Y et al: Usefulness of brain SPECT to evaluate brain tolerance and hemodynamic changes during temporary balloon occlusion test and after permanent carotid occlusion. J Nucl Med. 43(12):1616-23, 2002
          12. Yamamoto Y et al: Preliminary results of Tc-99m ECD SPECT to evaluate cerebral collateral circulation during balloon test occlusion. Clin Nucl Med. 27(9):633-7, 2002
          13. American Society of Interventional and Therapeutic Neuroradiology: Carotid artery balloon test occlusion. AJNR Am J Neuroradiol. 22(8 Suppl):S8-9, 2001
          14. Ozgur HT et al: Correlation of cerebrovascular reserve as measured by acetazolamide-challenged SPECT with angiographic flow patterns and intra- or extracranial arterial stenosis. AJNR Am J Neuroradiol. 22(5):928-36, 2001
          15. Baird AE et al: Sensitivity and specificity of 99mTc-HMPAO SPECT cerebral perfusion measurements during the first 48 hours for the localization of cerebral infarction. Stroke. 28(5):976-80, 1997
          16. Berger JD et al: Neuroradiologic applications of central nervous system SPECT. Radiographics. 16(4):777-85, 1996
          17. Mathis JM et al: Temporary balloon test occlusion of the internal carotid artery: experience in 500 cases. AJNR Am J Neuroradiol. 16(4):749-54, 1995
          18. Linskey ME et al: Stroke risk after abrupt internal carotid artery sacrifice: accuracy of preoperative assessment with balloon test occlusion and stable xenon-enhanced CT. AJNR Am J Neuroradiol. 15(5):829-43, 1994
          19. MedlinePlus: Stroke
          Related Anatomy
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          Related Differential Diagnoses
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          References
          Tables

          Tables

          KEY FACTS

          • Imaging

            TERMINOLOGY

            • Definitions

              • Decrease or interruption of blood supply to brain

            IMAGING

            • Nuclear Medicine Findings

              • Imaging Recommendations

                DIAGNOSTIC CHECKLIST

                • Consider

                  Selected References

                  1. Sorteberg A: Balloon occlusion tests and therapeutic vessel occlusions revisited: when, when not, and how. AJNR Am J Neuroradiol. 35(5):862-5, 2014
                  2. Vagal AS et al: The acetazolamide challenge: techniques and applications in the evaluation of chronic cerebral ischemia. AJNR Am J Neuroradiol. 30(5):876-84, 2009
                  3. Hori M et al: The magnetic resonance Matas test: Feasibility and comparison with the conventional intraarterial balloon test occlusion with SPECT perfusion imaging. J Magn Reson Imaging. 21(6):709-14, 2005
                  4. Lampl Y et al: Prognostic significance of blood brain barrier permeability in acute hemorrhagic stroke. Cerebrovasc Dis. 20(6):433-7, 2005
                  5. Maulaz A et al: Selecting patients for early stroke treatment with penumbra images. Cerebrovasc Dis. 20 Suppl 2:19-24, 2005
                  6. Sitburana O et al: Magnetic resonance imaging: implication in acute ischemic stroke management. Curr Atheroscler Rep. 7(4):305-12, 2005
                  7. Ueda T et al: Single-photon emission CT imaging in acute stroke. Neuroimaging Clin N Am. 15(3):543-51, x, 2005
                  8. Mahagne MH et al: Voxel-based mapping of cortical ischemic damage using Tc 99m L,L-ethyl cysteinate dimer SPECT in acute stroke. J Neuroimaging. 14(1):23-32, 2004
                  9. Latchaw RE et al: Guidelines and recommendations for perfusion imaging in cerebral ischemia: A scientific statement for healthcare professionals by the writing group on perfusion imaging, from the Council on Cardiovascular Radiology of the American Heart Association. Stroke. 34(4):1084-104, 2003
                  10. Rudd JH et al: Imaging atherosclerotic plaque inflammation with [18F]-fluorodeoxyglucose positron emission tomography. Circulation. 105(23):2708-11, 2002
                  11. Sugawara Y et al: Usefulness of brain SPECT to evaluate brain tolerance and hemodynamic changes during temporary balloon occlusion test and after permanent carotid occlusion. J Nucl Med. 43(12):1616-23, 2002
                  12. Yamamoto Y et al: Preliminary results of Tc-99m ECD SPECT to evaluate cerebral collateral circulation during balloon test occlusion. Clin Nucl Med. 27(9):633-7, 2002
                  13. American Society of Interventional and Therapeutic Neuroradiology: Carotid artery balloon test occlusion. AJNR Am J Neuroradiol. 22(8 Suppl):S8-9, 2001
                  14. Ozgur HT et al: Correlation of cerebrovascular reserve as measured by acetazolamide-challenged SPECT with angiographic flow patterns and intra- or extracranial arterial stenosis. AJNR Am J Neuroradiol. 22(5):928-36, 2001
                  15. Baird AE et al: Sensitivity and specificity of 99mTc-HMPAO SPECT cerebral perfusion measurements during the first 48 hours for the localization of cerebral infarction. Stroke. 28(5):976-80, 1997
                  16. Berger JD et al: Neuroradiologic applications of central nervous system SPECT. Radiographics. 16(4):777-85, 1996
                  17. Mathis JM et al: Temporary balloon test occlusion of the internal carotid artery: experience in 500 cases. AJNR Am J Neuroradiol. 16(4):749-54, 1995
                  18. Linskey ME et al: Stroke risk after abrupt internal carotid artery sacrifice: accuracy of preoperative assessment with balloon test occlusion and stable xenon-enhanced CT. AJNR Am J Neuroradiol. 15(5):829-43, 1994
                  19. MedlinePlus: Stroke