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Evaluation of the Cerebral Vessels

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Diseases of the Brain, Head and Neck, Spine 2016-2019
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Abstract

Evaluation of the cerebral vessels traditionally demonstrates the lumen of the vessel (the so-called luminogram). The methods include computed tomography angiography (CTA), magnetic resonance angiography (MRA), and digital subtraction angiography (DSA). All three methods can evaluate the veins, but CT venography (CTV) and MR venography (MRV) are traditionally done separately from CTA and MRA. In the last decade, dynamic 3D CTA and MRA techniques can be done that provide a hemodynamic evaluation of both the arteries and the veins. These dynamic 3D techniques give a great overview of the cerebral circulation but lack spatial resolution. DSA remains the “gold standard” in the evaluation of the arteries and the hemodynamics. We believe the gadolinium-enhanced MRV is now the “gold standard” in the evaluation of the venous system.

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  • Miller TR, Shivashankar R, Mossa-Basha M, Gandhi D (2015a) Reversible cerebral vasoconstriction syndrome, part 1: epidemiology, pathogenesis, and clinical course. AJNR Am J Neuroradiol 36(8):1392–1399

    Article  CAS  PubMed  Google Scholar 

  • Miller TR, Shivashankar R, Mossa-Basha M, Gandhi D (2015b) Reversible cerebral vasoconstriction syndrome, part 2: diagnostic work-Up, imaging evaluation, and differential diagnosis. AJNR Am J Neuroradiol 36(9):1580–1588

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  • Moussaddy A, Levy A, Strbian D, Sundararajan S, Berthelet F, Lanthier S (2015) Inflammatory cerebral amyloid angiopathy, amyloid-β-related angiitis, and primary angiitis of the central nervous system: similarities and differences. Stroke 46(9):e210–e213

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  • Skarpathiotakis M, Mandell DM, Swartz RH, Tomlinson G, Mikulis DJ (2013) Intracranial atherosclerotic plaque enhancement in patients with ischemic stroke. AJNR Am J Neuroradiol 34(2):299–304

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  • Willems PW, Brouwer PA, Barfett JJ, terBrugge KG, Krings T (2011) Detection and classification of cranial dural arteriovenous fistulas using 4D-CT angiography: initial experience. AJNR Am J Neuroradiol 32:49–53

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  • Yamada M (2015) Cerebral amyloid angiopathy: emerging concepts. J Stroke 17(1):17–30

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Correspondence to Robert A. Willinsky .

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© 2016 Springer International Publishing Switzerland

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Willinsky, R.A. (2016). Evaluation of the Cerebral Vessels. In: Hodler, J., Kubik-Huch, R., von Schulthess, G. (eds) Diseases of the Brain, Head and Neck, Spine 2016-2019. Springer, Cham. https://doi.org/10.1007/978-3-319-30081-8_3

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  • DOI: https://doi.org/10.1007/978-3-319-30081-8_3

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-30081-8

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