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ORIGINAL ARTICLE Leptomeningeal Enhancement on Magnetic Resonance Imaging as a Predictor of Hemodynamic Insufficiency Doran Hong, MD,* Hyung Suk Seo, MD, PhD,* Young Hen Lee, MD, PhD,* Ki Joon Kim, MD, PhD,† Sang-il Suh, MD, PhD,‡ and Jin-Man Jung, MD§ image. Some previous studies have reported that the compensatory Objective: The objective of this study was to evaluate the value of mechanism may increase the blood volume using the collateral cir- leptomeningeal enhancement on magnetic resonance imaging in relation 6–9 culation to protect the brain from ischemic injury. On the other to relative cerebral blood flow (rCBF) and cerebrovascular reserve. hand, others have demonstrated that secondary pathways such as Methods: A retrospective analysis was performed for 31 patients with in- leptomeningeal collaterals may be inadequate primary collaterals ternal carotid artery or proximal middle cerebral artery occlusion without 10–12 and, thus, serve as a marker of hemodynamic impairment. primary collateral flow, who underwent enhanced T1-weighted magnetic Magnetic resonance imaging or MR angiography that in- resonance imaging and acetazolamide-challenged perfusion computed to- cludes an enhancing study is usually used to evaluate stroke. We mography. They were graded into 3 groups in leptomeningeal enhance- hypothesized that enhanced MRI provides insight on the
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: May 1, 2015
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