Pediatric Radiology

, Volume 34, Issue 1, pp 10–15

Radiological approach to disorders of arterial brain vessels associated with childhood arterial stroke—a comparison between MRA and contrast angiography

Mini-symposium: Stroke in children

DOI: 10.1007/s00247-003-1109-0

Cite this article as:
Husson, B. & Lasjaunias, P. Pediatr Radiol (2004) 34: 10. doi:10.1007/s00247-003-1109-0

Abstract

Recent studies of arterial ischaemic stroke in children have emphasised the higher frequency of cerebral arterial abnormalities than believed previously, explaining some of the strokes thought to have been idiopathic. Moreover, recurrent strokes are significantly more frequent in children with multiple risk factors, including those with demonstrable vascular abnormalities. Thus, cerebral arterial imaging is essential for the understanding and therapeutic approach to this pathology. Contrast angiography (CA) is the reference examination for the diagnosis of cerebral arterial abnormalities, but MR angiography (MRA) is a sensitive and non-invasive method to evaluate the vasculopathy of childhood stroke. In this article we highlight recent data concerning localisation and characterisation of arterial lesions and discuss the yield of MRA compared with CA.

Keywords

ArteriesBrainIschaemia/infarctionMRAContrast angiographyChildren

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.Service de RadiopédiatrieCentre Hospitalier Universitaire de Bicêtre
  2. 2.Service de NeuroradiologieHôpital Bicêtre