Cerebral Infarct/Intracranial Cerebrovascular Disease

P. Ellen Grant, Pamela W. Schaefer, R. Gilberto Gonzalez
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Abstract

Imaging goals for intracranial cerebral vascular disease are (1) to assess the degree of parenchymal injury and identify intraparenchymal hemorrhage; (2) to determine if there are areas of altered perfusion that may be at risk for future injury; and (3) to assess the intracranial arteries (patency as well as direction of flow). This unit describes a Basic Protocol that can be used to evaluate stable patients with acute, subacute, or chronic cerebrovascular symptoms. An Alternate Protocol is also given for cases of hyperacute strokes or cerebrovascular symptoms in an unstable patient.

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脑梗死/颅内脑血管病
颅内脑血管病的影像学目标是(1)评估脑实质损伤程度,识别脑实质出血;(2)确定是否有灌注改变的区域可能存在未来损伤的风险;(3)评估颅内动脉(通畅及血流方向)。本单元描述了一个基本方案,可用于评估稳定的急性、亚急性或慢性脑血管症状患者。对于病情不稳定的病人出现超急性中风或脑血管症状的病例,也给出了备选方案。
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