Abstract:
BACKGROUND:Volume isotropic turbo spin-echo acquisition (VISTA) is a new method similar to the 3D black-blood imaging method that enables visualization of a intramural hematoma. T1-VISTA has recently been applied in the diagnosis of intracranial arterial dissection. However, the identification of an intramural hematoma in posterior inferior cerebellar dissection (PICA-D) by T1-VISTA has only rarely been reported. CASE PRESENTATION:We herein report two patients who suffered from PICA-D complicated with ischemic stroke. Initial magnetic resonance arteriography was not informative, however, T1-VISTA depicted high-intensity signal areas suggesting an intramural hematoma of PICA-D in both cases. The high-intensity signal areas gradually reduced and finally disappeared at 4 months and 5 months after the onset, respectively. CONCLUSION:Our cases demonstrate that T1-VISTA was able to assist in the diagnosis and follow-up of PICA-D.
journal_name
BMC Neuroljournal_title
BMC neurologyauthors
Ishitsuka K,Sakaki Y,Sakai S,Uwatoko T,Aibe H,Ago T,Kitazono T,Sugimori Hdoi
10.1186/s12883-016-0637-9subject
Has Abstractpub_date
2016-07-29 00:00:00pages
121issn
1471-2377pii
10.1186/s12883-016-0637-9journal_volume
16pub_type
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