Evaluation of Cerebral Infarction by Computed Tomography with Special Emphasis on Microinfarction

  • K. F. Lee
  • R. A. Chambers
  • C. Diamond
  • C. H. Park
  • N. L. ThompsonJr.
  • D. Schnapf
  • S. Pripstein
Conference paper

Summary

Computed tomography has proved to be the most effective mode of evaluating cerebral infarction in 143 documented cases. This was especially true when multiple focal infarcts were present. The incidence of contrast enhancement in acute infarcts was 88%. Concomitant acute and old infarcts were observed in 20% of cases. In the acute stage of stroke, radionuclide studies are preferable to contrast angiography since the latter may aggravate the pre-existing focal ischemia. Follow-up CT and radionuclide scans were extremely useful in confirming the diagnosis and demonstrating various postinfarction sequelae.

Keywords

Permeability Ischemia Radionuclide Neurol Peri 

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References

  1. 1.
    Acheson, J., Boyd, W.N., Hugh, A.E., Hutchinson, E.C.: Cerebral angiography in ischemic vascular disease. Arch. Neurol. 20, 527–532 (1969)PubMedCrossRefGoogle Scholar
  2. 2.
    Blahd, W.H.: Nuclear medicine, pp. 236–266, 2nd. ed. New York: McGraw-Hill 1971Google Scholar
  3. 3.
    Davis, K.R., Taveras, J.M., New, P.F.J., Schneur, J.A., Roberson, G.H.: Cerebral infarction diagnosed by computerized tomography. Am. J. Roentgenol. 124, 643–660 (1975)Google Scholar
  4. 4.
    Di Chiro, G., Timins, E.L., Jones, A.E., et al.: Radionuclide scanning and microangiography of evolving and completed brain infarction. A correlative study in monkeys, Neurology 24, 418–423 (1974)PubMedGoogle Scholar
  5. 5.
    Fishman, R.A.: Brain edema. N. Engl. J. Med. 293, 706–711 (1975)PubMedCrossRefGoogle Scholar
  6. 6.
    Lee, K.F., Gonzales, C., Schatz, N.J., Suh, J.H.: Changing concepts in the neuroradiological evaluation of infarction involving the visual cortex. Neuroradiology 12, 51 (1976)Google Scholar
  7. 7.
    Lee, K.F., Hodes, P.J.: Intracranial ischemic lesions. Radiol. Clin. North Am. 5, 363–393 (1967)Google Scholar
  8. 8.
    McKay, W.J., Andrews, J.T., Mathur, K.F.: ‘Vascular’ cerebral infarctions demonstrated by serial gamma-camera scinti-photography. Br. J. Radiol. 49, 600–603 (1976)PubMedCrossRefGoogle Scholar
  9. 9.
    Rees, J.E., Bull, J.W.D., Russel, R., et al.: Regional cerebral blood flow in transient ischemic attacks. Lancet 1970 II, 1210–1213Google Scholar
  10. 10.
    Snow, R.M., Keys, J.W.: The ‘luxury perfusion syndrome’ following a cerebrovascular accident demonstrated by radionuclide angiography. J. Nucl. Med. 15, 907–909 (1974)PubMedGoogle Scholar
  11. 11.
    Strauss, H.W., James, A.E., Hurley, P.J.: Nuclear cerebral angiography. Usefulness in the differential diagnosis of cerebrovascular disease and tumor. Arch. Intern. Med. 131, 211–216 (1973)PubMedCrossRefGoogle Scholar
  12. 12.
    Taveras, J.M., Gilson, J.M., Davis, D.O., Kilgore, B., Rumbaugh, C.L.: Angiography in cerebral infarction. Radiology 93, 549–558 (1969)PubMedGoogle Scholar
  13. 13.
    Wing, S.D., Norman, D., Pollock, J.A., Newton, T.H.: Contrast enhancement of cerebral infarcts in computed tomography. Radiology 121, 89–92 (1976)PubMedGoogle Scholar
  14. 14.
    Wood, E.H., Correll, J.W.: Atheromatous ulceration in major neck vessels as a cause of cerebral embolism. Acta Radiol. 9, 520–536 (1969)Google Scholar

Copyright information

© Springer-Verlag 1978

Authors and Affiliations

  • K. F. Lee
    • 1
    • 2
    • 3
  • R. A. Chambers
    • 1
    • 2
    • 3
  • C. Diamond
    • 1
    • 2
    • 3
  • C. H. Park
    • 1
    • 2
    • 3
  • N. L. ThompsonJr.
    • 1
    • 2
    • 3
  • D. Schnapf
    • 1
    • 2
    • 3
  • S. Pripstein
    • 1
    • 2
    • 3
  1. 1.Department of RadiologyThomas Jefferson University HospitalPhiladelphiaUSA
  2. 2.Department of NeurologyThomas Jefferson University HospitalPhiladelphiaUSA
  3. 3.Department of Nuclear MedicineThomas Jefferson University HospitalPhiladelphiaUSA

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