The "hot stroke" and transient vascular occlusions.

Abstract:

:Two patients with left middle cerebral artery (MCA) distribution infarctions fulfilled the "hot stroke" criteria on sequential 99m Tc pertechnetate flow and static gamma camera studies. The radioisotopic finding of a paradoxical relative increased flow to the affected hemisphere correlated with serial angiography showing multiple MCA branch occlusions becoming patent with a vascular blush and early venous drainage. The angiographical finding of transient vascular occlusions suggests embolism. Using the present cases together with prior observations, some transient vascular occlusions can be diagnosed by finding an increase in relative radioisotopic flow to the involved hemisphere within a few days to weeks of the infarction. This finding should launch a search for a possible embolic source.

journal_name

Stroke

journal_title

Stroke

authors

Yarnell PR,Earnest MP,Sanders B,Burdick D

doi

10.1161/01.str.6.5.517

subject

Has Abstract

pub_date

1975-09-01 00:00:00

pages

517-20

issue

5

eissn

0039-2499

issn

1524-4628

journal_volume

6

pub_type

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