Relation between cerebral perfusion territories and location of cerebral infarcts.

Abstract:

BACKGROUND AND PURPOSE:The perfusion territories of the brain-feeding arteries are difficult to assess in vivo and therefore standard cerebral perfusion territory templates are often used to determine the relation between cerebral infarcts and the feeding vasculature. In the present study, we compared this infarct classification, using standard templates, with the individualized depiction of cerebral perfusion territories on MRI. METHODS:The ethics committee of our institution approved the study protocol. A total of 159 patients (92 male, 67 female; mean age, 58.9 years) with first-time clinical symptoms of cerebral ischemia were included in the study. Diffusion-weighted imaging was used for depiction of the area of ischemia and the perfusion territories of the left internal carotid artery, right internal carotid artery, and vertebrobasilar arteries were visualized with territorial arterial spin labeling MRI. Infarct locations with respect to cerebral perfusion territories were evaluated with and without territorial arterial spin labeling MRI images. RESULTS:In 92% of the patients, the territorial arterial spin labeling images were of diagnostic quality. One hundred thirty-six patients showed areas of ischemia on diffusion-weighted images. The additional information from the territorial arterial spin labeling images changed the classification in 11% of the cortical or border zone infarcts (6 of 56), whereas no territorial changes were observed in lacunar, periventricular, cerebellar, and brainstem infarcts. CONCLUSIONS:The diagnostic information provided by perfusion territory imaging in patients with stroke is valuable for the classification of cortical and border zone infarcts, whereas no change of the textbook-based classification was observed for other infarct types.

journal_name

Stroke

journal_title

Stroke

authors

Hendrikse J,Petersen ET,Chèze A,Chng SM,Venketasubramanian N,Golay X

doi

10.1161/STROKEAHA.108.539866

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

1617-22

issue

5

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.108.539866

journal_volume

40

pub_type

杂志文章

相关文献

STROKE文献大全
  • Pressure-flow relations in canine collateral-dependent cerebrum.

    abstract:BACKGROUND AND PURPOSE:The pressure-flow relation has been characterized in normal cerebrum, but it has not been studied in cerebrum dependent on collateral flow. The purpose of this investigation was to examine the relation between systemic pressure, regional cerebral blood flow, and middle cerebral artery branch pres...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.23.7.988

    authors: Muhonen MG,Sawin PD,Loftus CM,Heistad DD

    更新日期:1992-07-01 00:00:00

  • Detection of misery perfusion with split-dose 123I-iodoamphetamine single-photon emission computed tomography in patients with carotid occlusive diseases.

    abstract:BACKGROUND AND PURPOSE:Patients with carotid occlusive disease and stage 2 cerebral hemodynamic failure, characterized by an increased oxygen extraction fraction (OEF) as measured by positron emission tomography (PET) and otherwise known as misery perfusion, have a high risk of cerebral ischemia and subsequent stroke. ...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.str.0000027638.19392.7e

    authors: Imaizumi M,Kitagawa K,Hashikawa K,Oku N,Teratani T,Takasawa M,Yoshikawa T,Rishu P,Ohtsuki T,Hori M,Matsumoto M,Nishimura T

    更新日期:2002-09-01 00:00:00

  • Serum calcium as prognosticator in ischemic stroke.

    abstract:BACKGROUND AND PURPOSE:Calcium (Ca(2+)) plays a role in the cellular and molecular pathways of ischemic neuronal death. We evaluated the impact of both early and delayed Ca(2+) levels on clinical outcomes from acute ischemic stroke. METHODS:The relations between blood calcium level obtained early (<4.5 hours), and del...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.107.513499

    authors: Ovbiagele B,Starkman S,Teal P,Lyden P,Kaste M,Davis SM,Hacke W,Fierus M,Saver JL,VISTA Investigators.

    更新日期:2008-08-01 00:00:00

  • Lacunar infarcts and white matter attenuation. Ophthalmologic and microcirculatory aspects of the pathophysiology.

    abstract:BACKGROUND AND PURPOSE:By means of neurological and ophthalmologic examinations we considered whether there is a microcirculatory disorder not related to hypertension and diabetes in patients with lacunar infarcts and whether there are microcirculatory differences in patients with lacunar infarcts compared with those w...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.24.12.1874

    authors: Schneider R,Rademacher M,Wolf S

    更新日期:1993-12-01 00:00:00

  • Distribution of the blood flow supplied by the vertebral artery in humans as assessed by emission CT.

    abstract::Though unilateral blood distribution of the vertebral artery has not been studied in humans, it is significant when considering the ischemic events especially embolic occlusion in vertebrobasilar system. To clarify the blood distribution, Krypton-81m was continuously infused into the vertebral arteries of 10 patients....

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.15.3.469

    authors: Taki W,Handa H,Higa T,Tanada S,Fukuyama H,Fujita T,Yonekawa Y,Kameyama M,Torizuka K

    更新日期:1984-05-01 00:00:00

  • Stroke and Embolic Events in Hypertrophic Cardiomyopathy: Risk Stratification in Patients Without Atrial Fibrillation.

    abstract:BACKGROUND AND PURPOSE:Stroke and systemic embolic events are known to occur as complications of hypertrophic cardiomyopathy (HCM), and these complications are more common in patients with accompanying atrial fibrillation (AF). The diagnosis of AF is sometimes difficult, however, and it is possible that subclinical asy...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.115.012130

    authors: Haruki S,Minami Y,Hagiwara N

    更新日期:2016-04-01 00:00:00

  • Silent stroke: not listened to rather than silent.

    abstract:BACKGROUND AND PURPOSE:The prevalence of silent brain infarcts varies from 8% to 28% in the general elderly population. Silent brain infarcts are associated with increased risk of subsequent stroke and cognitive dysfunction. By definition, silent strokes lack clinically overt stroke-like symptoms and fail to come to cl...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.112.666461

    authors: Saini M,Ikram K,Hilal S,Qiu A,Venketasubramanian N,Chen C

    更新日期:2012-11-01 00:00:00

  • Is there a future for endovascular treatment of intracranial atherosclerotic disease after Stenting and Aggressive Medical Management for Preventing Recurrent Stroke and Intracranial Stenosis (SAMMPRIS)?

    abstract::The Stenting and Aggressive Medical Management for Preventing Recurrent Stroke and Intracranial Stenosis (SAMMPRIS) trial, a randomized clinical trial comparing aggressive medical management to stenting with aggressive medical management for symptomatic intracranial stenosis, was prematurely halted when a high rate of...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.645507

    authors: Marks MP

    更新日期:2012-02-01 00:00:00

  • Systematic review of the risks of carotid endarterectomy in relation to the clinical indication for and timing of surgery.

    abstract:BACKGROUND AND PURPOSE:Reliable data on the risk of carotid endarterectomy (CEA) in relation to clinical indication and timing of surgery are necessary to target CEA more effectively, to inform patients, to adjust risks for case mix, and to understand the mechanisms of operative stroke. METHODS:We performed a systemat...

    journal_title:Stroke

    pub_type: 杂志文章,meta分析,评审

    doi:10.1161/01.STR.0000087785.01407.CC

    authors: Bond R,Rerkasem K,Rothwell PM

    更新日期:2003-09-01 00:00:00

  • Regulation of cerebral blood flow after asphyxia in neonatal lambs.

    abstract::In a postasphyxia neonatal lamb model, the responses of the cerebral circulation to hypoxic hypoxia and changes in systemic arterial blood pressure were examined. Ventilated newborn lambs (n = 14) were subjected to a gradual asphyxial insult, resuscitated, and returned to control ventilator settings. During the time 2...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.19.2.239

    authors: Rosenberg AA

    更新日期:1988-02-01 00:00:00

  • Increased body iron stores are associated with poor outcome after thrombolytic treatment in acute stroke.

    abstract:BACKGROUND AND PURPOSE:Iron overload has been associated with greater oxidative stress and brain injury in experimental cerebral ischemia and reperfusion. This study investigates whether high serum ferritin levels, as an index of increased cellular iron stores, are associated with poor outcome, hemorrhagic transformati...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.STR.0000251798.25803.e0

    authors: Millan M,Sobrino T,Castellanos M,Nombela F,Arenillas JF,Riva E,Cristobo I,García MM,Vivancos J,Serena J,Moro MA,Castillo J,Dávalos A

    更新日期:2007-01-01 00:00:00

  • Reliability of prehospital real-time cellular video phone in assessing the simplified National Institutes Of Health Stroke Scale in patients with acute stroke: a novel telemedicine technology.

    abstract:BACKGROUND AND PURPOSE:The National Institutes of Health Stroke Scale (NIHSS) is the gold standard to assess patients with acute stroke. We aimed to examine the feasibility and reliability of prehospital real-time cellular video phone (VP) in performing the NIHSS. METHODS:Forty physicians prospectively performed a sim...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.600296

    authors: Gonzalez MA,Hanna N,Rodrigo ME,Satler LF,Waksman R

    更新日期:2011-06-01 00:00:00

  • Baicalein and 12/15-lipoxygenase in the ischemic brain.

    abstract:BACKGROUND AND PURPOSE:The natural product baicalein is a specific inhibitor of 12/15-lipoxygenase, but it also has antioxidant properties. The current study was designed to test if the neuroprotective properties of baicalein are related to its lipoxygenase inhibition. METHODS:The presence of 12/15-lipoxygenase in the...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000249004.25444.a5

    authors: van Leyen K,Kim HY,Lee SR,Jin G,Arai K,Lo EH

    更新日期:2006-12-01 00:00:00

  • Role of the nondominant hemisphere and undamaged area during word repetition in poststroke aphasics. A PET activation study.

    abstract:BACKGROUND AND PURPOSE:Although the resting regional cerebral blood flow (rCBF) in aphasic patients has been thoroughly investigated with positron emission tomography (PET) and single-photon emission CT, and PET studies in normal subjects have elucidated the functional localization of language processing, little is kno...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.27.5.897

    authors: Ohyama M,Senda M,Kitamura S,Ishii K,Mishina M,Terashi A

    更新日期:1996-05-01 00:00:00

  • Clinical trials of neuroprotective therapies.

    abstract::There have been numerous failures in the field of acute stroke therapy over many years, but the first large clinical trial showing preliminary indications of efficacy and safety of a neuroprotective drug, NXY-059, has now been fully reported. If confirmed, it will mean that a second therapy for acute stroke has been i...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.STR.0000252090.44428.82

    authors: Zivin JA

    更新日期:2007-02-01 00:00:00

  • Occlusive thromboaortopathy (Takayasu's disease): cervical arterial stenoses, retinal arterial pressure, retinal microaneurysms and prognosis.

    abstract::Eighty-one young Japanese patients with occlusive thromboaortopathy (Takayasu's disease) were classed into three groups according to the degree and extent of diameter stenosis in the 4 cervical arterial systems, as determined by serial aortography. Class I was made up of 63 patients with 70% or greater stenosis in les...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.14.5.730

    authors: Ishikawa K,Uyama M,Asayama K

    更新日期:1983-09-01 00:00:00

  • Sympathetic control of the cerebral vasculature in humans.

    abstract:BACKGROUND AND PURPOSE:The role of the sympathetic nervous system in cerebral autoregulation remains poorly characterized. We examined cerebral blood flow responses to augmented arterial pressure oscillations with and without sympathetic blockade and compared them with responses in the forearm circulation. METHODS:An ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.557132

    authors: Hamner JW,Tan CO,Lee K,Cohen MA,Taylor JA

    更新日期:2010-01-01 00:00:00

  • Sarpogrelate-Aspirin Comparative Clinical Study for Efficacy and Safety in Secondary Prevention of Cerebral Infarction (S-ACCESS): A randomized, double-blind, aspirin-controlled trial.

    abstract:BACKGROUND AND PURPOSE:The antiplatelet agent sarpogrelate is a selective inhibitor of 5-hydroxytryptamine receptors. The purpose of this study was to compare the efficacy and safety of sarpogrelate with those of aspirin in Japanese ischemic stroke patients. METHODS:In total, 1510 patients with recent cerebral infarct...

    journal_title:Stroke

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/STROKEAHA.107.505131

    authors: Shinohara Y,Nishimaru K,Sawada T,Terashi A,Handa S,Hirai S,Hayashi K,Tohgi H,Fukuuchi Y,Uchiyama S,Yamaguchi T,Kobayashi S,Kondo K,Otomo E,Gotoh F,S-ACCESS Study Group.

    更新日期:2008-06-01 00:00:00

  • Incremental predictive value of carotid inflammation in acute ischemic stroke.

    abstract:BACKGROUND AND PURPOSE:Microwave Radiometry (MWR) allows in vivo noninvasive assessment of internal temperature of tissues. The aim of the present study was to evaluate in patients with ischemic stroke and bilateral carotid plaques (1) whether ipsilateral carotid arteries exhibit higher temperature differences (ΔT), as...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.114.007526

    authors: Toutouzas K,Benetos G,Drakopoulou M,Deligianni C,Spengos K,Stefanadis C,Siores E,Tousoulis D

    更新日期:2015-01-01 00:00:00

  • Nationwide Trends in Carotid Endarterectomy and Carotid Artery Stenting in the Post-CREST Era.

    abstract::Background and Purpose- The CREST (Carotid Revascularization Endarterectomy Versus Stenting Trial) demonstrated equivalent composite outcomes between carotid endarterectomy (CEA) and carotid artery stenting (CAS) for treating carotid stenosis. We investigated nationwide trends in these procedures and associated peripr...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.119.027388

    authors: Cole TS,Mezher AW,Catapano JS,Godzik J,Baranoski JF,Nakaji P,Albuquerque FC,Lawton MT,Little AS,Ducruet AF

    更新日期:2020-02-01 00:00:00

  • Sulcal effacement with preserved gray-white junction: a sign of reversible ischemia.

    abstract:BACKGROUND AND PURPOSE:Sulcal effacement with preserved underlying gray-white matter junction (isolated sulcal effacement [ISE]) in acute ischemic stroke may not represent irreversible parenchymal injury. We aimed to evaluate the frequency and significance of ISE in patients with large vessel occlusion acute ischemic s...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/STROKEAHA.115.009304

    authors: Haussen DC,Lima A,Frankel M,Anderson A,Belagaje S,Nahab F,Rangaraju S,Nogueira RG

    更新日期:2015-06-01 00:00:00

  • Interrater reliability of the Pediatric National Institutes of Health Stroke Scale (PedNIHSS) in a multicenter study.

    abstract:BACKGROUND AND PURPOSE:Stroke is an important cause of death and disability among children. Clinical trials for childhood stroke require a valid and reliable acute clinical stroke scale. We evaluated interrater reliability (IRR) of a pediatric adaptation of the National Institutes of Health Stroke Scale. METHODS:The p...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.110.607192

    authors: Ichord RN,Bastian R,Abraham L,Askalan R,Benedict S,Bernard TJ,Beslow L,Deveber G,Dowling M,Friedman N,Fullerton H,Jordan L,Kan L,Kirton A,Amlie-Lefond C,Licht D,Lo W,McClure C,Pavlakis S,Smith SE,Tan M,Kasner S

    更新日期:2011-03-01 00:00:00

  • Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: a randomized controlled pilot study.

    abstract:BACKGROUND AND PURPOSE:The success of gait rehabilitation after stroke depends on active walking exercises. However, the disabling after-effects of stroke often make such exercises impossible at the onset of therapy. To facilitate treadmill training of paraparetic patients, a robot-driven gait orthosis (Lokomat) was de...

    journal_title:Stroke

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/01.STR.0000254607.48765.cb

    authors: Husemann B,Müller F,Krewer C,Heller S,Koenig E

    更新日期:2007-02-01 00:00:00

  • Lipoprotein-associated phospholipase A2 and C-reactive protein for risk-stratification of patients with TIA.

    abstract:BACKGROUND AND PURPOSE:Lipoprotein-associated phospholipase A(2) (Lp-PLA(2)) is a marker of unstable atherosclerotic plaque, and is predictive of both primary and secondary stroke in population-based studies. METHODS:We conducted a prospective study of patients with acute TIA who presented to the ED. Clinical risk sco...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.553545

    authors: Cucchiara BL,Messe SR,Sansing L,MacKenzie L,Taylor RA,Pacelli J,Shah Q,Kasner SE

    更新日期:2009-07-01 00:00:00

  • Reduced vasomotor reactivity in cerebral microangiopathy : a study with near-infrared spectroscopy and transcranial Doppler sonography.

    abstract:BACKGROUND AND PURPOSE:Reduction of cerebral blood flow and vasomotor reactivity (VMR) are thought to play an important role in the pathogenesis of cerebral microangiopathy. The aim of our study was to determine whether near-infrared spectroscopy (NIRS) can detect a reduced VMR in patients with microangiopathy, whether...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.31.4.924

    authors: Terborg C,Gora F,Weiller C,Röther J

    更新日期:2000-04-01 00:00:00

  • Eliciting information on differential sensation of heat in those with and without poststroke aphasia using a visual analogue scale.

    abstract:BACKGROUND AND PURPOSE:Aphasia can result in an inability to communicate the presence, location, or intensity of pain. Although visual analogue scales (VASs) exist, it is unknown whether they are useful in assessing pain in individuals with aphasia. The objective was to determine whether those with poststroke aphasia c...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000198872.75377.34

    authors: Korner-Bitensky N,Kehayia E,Tremblay N,Mazer B,Singer F,Tarasuk J

    更新日期:2006-02-01 00:00:00

  • Role of carotid endarterectomy in asymptomatic carotid stenosis. A Veterans Administration Cooperative Study.

    abstract::A multi-centered cooperative study is being undertaken to determine the role of carotid endarterectomy in the treatment of asymptomatic carotid stenosis. The primary objective is to compare the incidence of transient ischemic attacks, stroke, and death in previously asymptomatic patients with arteriographically confir...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.str.17.3.534

    authors:

    更新日期:1986-05-01 00:00:00

  • Ischemic Stroke and Bleeding: Clinical Benefit of Anticoagulation in Atrial Fibrillation After Intracerebral Hemorrhage.

    abstract::Background and Purpose- Patients with intracerebral hemorrhage (ICH) and atrial fibrillation (AF) are at risk for ischemic events. While risk calculators (CHA2DS2-VASc and HAS-BLED) have been validated to assess risk for ischemic stroke and major bleeding in AF patients, decisions about anticoagulation must consider t...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.119.027370

    authors: Stanton RJ,Eckman MH,Woo D,Moomaw CJ,Haverbusch M,Flaherty ML,Kleindorfer DO

    更新日期:2020-03-01 00:00:00

  • Strictly Lobar Microbleeds Reflect Amyloid Angiopathy Regardless of Cerebral and Cerebellar Compartments.

    abstract:BACKGROUND AND PURPOSE:We aimed to determine whether lobar cerebellar microbleeds or concomitant lobar cerebellar and deep microbleeds, in the presence of lobar cerebral microbleeds, attribute to underlying advanced cerebral amyloid angiopathy pathology or hypertensive arteriopathy. METHODS:We categorized 71 patients ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.119.028487

    authors: Jung YH,Jang H,Park SB,Choe YS,Park Y,Kang SH,Lee JM,Kim JS,Kim J,Kim JP,Kim HJ,Na DL,Seo SW

    更新日期:2020-12-01 00:00:00

  • Positive scans in angiographically proved cases of recanalized cerebral infarction.

    abstract::In 20 patients with acute major cerebral arterial occlusion, follow-up angiograms were obtained to inspect the occluded artery. These angiograms were compared with brain scans in the fourth week after the stroke. The angiograms revealed that frequent recanalization of the occluded arteries occurred within a week after...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.6.2.132

    authors: Irino T,Taneda M,Minami T

    更新日期:1975-03-01 00:00:00