Journal of neuroimaging : official journal of the American Society of Neuroimaging
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To assess the safety and efficacy of vertebral artery origin angioplasty and stenting for stroke prevention in a multicenter clinical experience. ⋯ Endovascular intervention of VAOS is associated with low peri-procedural complication rates. Restenosis remains a concern; age and smoking predicted future restenosis.
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Case Reports
Dramatic changes of a DWI lesion in a patient with acute ischemic stroke treated with IV t-PA.
A diffusion-weighted imaging (DWI) lesion changed dramatically in a hyperacute stroke case treated with intravenous tissue-plasminogen activator (IV t-PA). The initial hyperintense lesion on DWI disappeared completely immediately after IV t-PA treatment without improvement of neurological symptoms. However, the lesion reappeared 24 hours later. Successful thrombolysis can resolve DWI lesions but does not always improve the neurological symptoms.
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To describe a case of successful intracranial angioplasty and stenting of a symptomatic middle cerebral artery (MCA) stenosis using a transcervical approach. ⋯ Access of the intracranial circulation through direct CCA puncture may be a feasible alternative when the transfemoral access is not possible. The transcervical approach may be safe even with the use of antiplatelet medications and anticoagulation.
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Diffusion anisotropy color-coded maps of cerebral white matter can be generated from orthogonal anisotropic diffusion-weighted imaging (DWI) using the three-dimensional anisotropy contrast (3DAC) technique, but its precision has not been fully validated. Hence, we attempted to determine whether 3DAC is comparable to a diffusion tensor imaging (DTI) color map. ⋯ The 3DAC could visualize directional information of white matter tracts as precisely DTI-based color maps did, particularly when FA was large and/or e1 directions were orthogonal.
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To investigate the potential of the ultrasound-based evaluation of the optic nerve sheath in a patient with spontaneous intracranial hypotension due to cervical cerebrospinal fluid (CSF) leakage. ⋯ The ultrasound-based evaluation of the optic nerve sheath may be helpful in detecting CSF hypovolemia and for determination of treatment effects. This report should be seen as a basis for future investigations on the sonographic assessment of the optic nerve sheath in diagnosis and treatment of intracranial hypotension.