Watershed infarctions and computed tomography. A topographical study in cases with stenosis or occlusion of the carotid artery

Neuroradiology volume 19, pages245–248(1980)Cite this article

Summary

Watershed processes were observed in approximately 40% of cases seen by our study group. In the axial section they mainly appear as stained or striated hypodense areas in white matter of the parietal region, with or without extension into the supply area of adjacent cerebral arteries. These findings can be very subtle and are revealed only by careful examination, especially of higher sections.

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References

  1. 1.

    Adams, J. H., Brierley, J. B., Connor, R. C. R., Treip, C. S.: The effects of systemic hypotension upon the human brain. Clinical and neurological observations in 11 cases. Brain 89, 235–268 (1966)

    Google Scholar 

  2. 2.

    Constant, P., Renon, A. M., Caillé, J. M., Vernhiet, J., Dop., A.: Cerebral ischemia at CT. J. Neuroradiologie 4, 291–310 (1977)

    Google Scholar 

  3. 3.

    Enzmann, D., Gates, G. F.: “Watershed” infarction in sickle cell disease. Radiology 118, 337–339 (1976)

    Google Scholar 

  4. 4.

    Harrison, M. J. G.: The use of C.A.T. on cerebral infarction. In: Computerised axial tomography in clinical practice, pp. 221–226, (eds. G. H. du Boulay and I. F. Moseley). Berlin, Heidelberg, New York: Springer 1977

    Google Scholar 

  5. 5.

    Hawes, D. R., Mishkin, F. S.: Brain scans in watershed infarction and laminar cortical necrosis. Radiology 103, 131–134 (1972)

    Google Scholar 

  6. 6.

    Kilgore, D. B., Bonte, F. J.: Scintigraphic demonstration of cerebral infarction in a “watershed” distribution. J. Nucl. Med. 12, 756–757 (1971)

    Google Scholar 

  7. 7.

    Kohlmeyer, K., Graser, C.: Comparative study of computed tomography (CT) and carotid angiography (CAG) in stroke patients. Neuroradiology 16, 162–163 (1978)

    Google Scholar 

  8. 8.

    Lindenberg, G., Spatz, H.: Über die Thrombendarteriitis obliterans der Hirngefäße (cerebrale Form der v. Winiwater-Buergerschen Krankheit). Virch. Arch. 305, 531–557 (1940)

    Google Scholar 

  9. 9.

    Orthner, H.: Methylalkoholvergiftung mit besonders schweren Hirnveränderungen. Ein Beitrag zur Permeabilitäts-pathologie des Gehirns. Virch. Arch. path. Anat. 323, 442–464 (1953)

    Google Scholar 

  10. 10.

    Radü, E. W., Moseley, I. F.: Carotid artery oclusion and computed tomography. Neuroradiology 17, 7–12 (1978)

    Google Scholar 

  11. 11.

    Ruggiero, G., Finizio, F. S., Nuzzo, G., Fagioli, L.: CT and arteriography in cerebral ischemia. Neuroradiology 16, 168–170 (1978)

    Google Scholar 

  12. 12.

    Salamon, G., Lecaque, G.: Choice of the plane of incidence for computed tomography of the cerebral cortex. J. Comput. Ass. Tomogr. 2, 93–97 (1978)

    Google Scholar 

  13. 13.

    Spatz, H.: Über die Beteiligung des Gehirns bei der v. Winiwarter-Buergerschen Krankheit (Thrombendangitis obliterans). Dtsch. Ztschr. Nervenhk. 136, 86–131 (1935)

    Google Scholar 

  14. 14.

    Wodarz, R., Nadjmi, M., Ratzka, M.: Topographischer Korrelation angiographischer und computertomographischer Befunde bei zerebralen Gefäßprozessen. Neuroradiology 16, 164–167 (1978)

    Google Scholar 

  15. 15.

    Wodarz, R., Ratzka, M.: Grenzflächeninfarkte im CT — ein typischer Befund bei Karotisinsuffizienz. Vortag auf der 15. Jahrestagung der Deutschen Gesellschaft für Neuroradiologie in Mannheim vom 10.–12. Mai 1979

  16. 16.

    Zeitler, E., Friedmann, G., Roth, F., Schoop, W.: Befunde an extrakraniellen hirnversorgenden Arterien bei Patienten mit peripheren und generalisierten Durchblutungsstörungen. Röntgen-Bl. 31, 266–271 (1978)

    Google Scholar 

  17. 17.

    Zeitler, E., Greiling, H. W., Roth, F. J., Friedmann, G.: Computertomographie und zerebrale Angiographie bei Carotis-Obliterationen, Vortrag auf der 15. Jahrestagung der Deutschen Gesellschaft für Neuroradiologie in Mannheim vom 10.–12. Mai 1979

  18. 18.

    Zülch, K. J.: Über die Entstehung und Lokalisation der Hirninfarkte. Zbl. Neurochir. 21, 158–178 (1961)

    Google Scholar 

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Affiliations

  1. Department of Neuroradiology, University of Würzburg, Würzburg, FRG

    R. Wodarz

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  1. R. Wodarz
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Dedicated to Professor K. J. Zülch on his 70th birthday

Supported by Stiftung Volkswagenwerk

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Wodarz, R. Watershed infarctions and computed tomography. A topographical study in cases with stenosis or occlusion of the carotid artery. Neuroradiology 19, 245–248 (1980). https://doi.org/10.1007/BF00347803

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Key words

  • CT scan
  • Carotid occlusion
  • Watershed infarction