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Titolo:
Hyperacute diffusion-weighted MRI in basilar occlusion treated with intra-arterial t-PA
Autore:
Nighoghossian, N; Derex, L; Turjman, F; Honnorat, J; Lucain, P; Berthezene, Y; Artu, F; Froment, JC; Trouillas, P;
Indirizzi:
Cerebrovasc Dis & Ataxia Res Ctr, Lyon, France Cerebrovasc Dis & Ataxia Res Ctr Lyon France axia Res Ctr, Lyon, France Dept Radiol, Creatis UMR CNRS 5515, Lyon, France Dept Radiol Lyon France ept Radiol, Creatis UMR CNRS 5515, Lyon, France Intens Care Unit, Lyon, France Intens Care Unit Lyon FranceIntens Care Unit, Lyon, France
Titolo Testata:
CEREBROVASCULAR DISEASES
fascicolo: 6, volume: 9, anno: 1999,
pagine: 351 - 354
SICI:
1015-9770(199911/12)9:6<351:HDMIBO>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE HUMAN STROKE; THROMBOLYTIC THERAPY; ISCHEMIC STROKE; DISEASE;
Keywords:
basilar occlusion; diffusion-weighted MRI; three-dimensional time-of-flight MR angiography;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Nighoghossian, N Hop Neurol, Serv Urgences Cerebrovasc, 59 Bd Pinel, F-69003 Lyon, France Hop Neurol 59 Bd Pinel Lyon France F-69003 Lyon, France
Citazione:
N. Nighoghossian et al., "Hyperacute diffusion-weighted MRI in basilar occlusion treated with intra-arterial t-PA", CEREB DIS, 9(6), 1999, pp. 351-354

Abstract

Basilar artery thrombosis should be diagnosed immediately, as intra-arterial thrombolysis might improve the outcome, Diffusion-weighted (DWI)-MRI andthree-dimensional time-of-fight MR angiography (3D TOF Turbo MRA) may provide additional insight into the extent of ischemia and the level of the occlusion, These methods could be helpful in the early classification of vertebrobasilar stroke, thus reserving the use of conventional angiography and possible intra-arterial thrombolysis for patients who had a severe clinical picture explained by preliminary assessments. We report the case of a 74-year-old woman who experienced a basilar artery occlusion; DWI-MRI and 3D TOFTurbo MRA provided noninvasive information concerning the level of arterial occlusion and its parenchymal ischemic impact, this leading to an intra-arterial thrombolytic therapy. These data suggest the feasibility of a noninvasive urgent diagnostic and prognostic approach with DWI-MRI and 3D TOF Turbo MRA in basilar occlusion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 19:13:05