MAGNETIC-RESONANCE ANGIOGRAPHY IN MOYAMOYA DISEASE

被引:10
作者
BATTISTELLA, PA [1 ]
CAROLLO, C [1 ]
PELLEGRINO, PA [1 ]
SORIANI, S [1 ]
SCARPA, P [1 ]
机构
[1] UNIV FERRARA,DEPT PEDIAT,I-44100 FERRARA,ITALY
关键词
MOYAMOYA DISEASE; MAGNETIC RESONANCE IMAGING; MAGNETIC RESONANCE ANGIOGRAPHY; CEREBRAL ANGIOGRAPHY;
D O I
10.1007/BF00301664
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Spontaneous occlusion of the circle of Willis, i.e., moyamoya disease (MMD), is a clinical disease entity angiographically characterized by progressive and bilateral stenosis of the carotid bifurcation, with a hazy collateral network at the base or convexity of the brain. Although the importance of computed tomography (CT) and conventional magnetic resonance (MR) imaging in diagnosing MMD has already been determined, conventional arteriography is still regarded as necessary for definitive diagnosis. Magnetic resonance angiography (MR-A) is a very recent vascular imaging technique which allows noninvasive and direct imaging of vessels without the use of contrast medium. We present four pediatric cases of MMD, evaluated by conventional angiography, CT, MR imaging, and MR-A. Our data demonstrate that MR-A is successful both in allowing detection of occlusive disease of the basal portion of the internal carotid artery and large branch basal cerebral vessels and demonstrating the collateral vessels at the base of the brain. As a noninvasive procedure, MR-A promises to become a valuable alternative to classical angiography in the diagnosis of MMD.
引用
收藏
页码:329 / 334
页数:6
相关论文
共 31 条
[1]  
Aoki T., Matsuzawa H., Houkin K., Kamiyama H., Abe H., Miyasaka K., Saito H., Usefulness and limitation of MR imaging and MR angiography in diagnosis of juvenile moya moya disease, No Shinkei Geka, 21, pp. 305-311, (1993)
[2]  
Chang K.H., Yi J.G., Han M.H., Kim I.O., MR imaging findings of moyamoya disease, Journal of Korean Medical Science, 5, pp. 85-90, (1990)
[3]  
Creasy J.L., Price R.R., Presbrey T., Goins D., Partain C.L., Kessler R.M., Gadolinium-enhanced MR angiography, Radiology, 175, pp. 280-283, (1990)
[4]  
Demaerel P., Wil G., Casteels Van Daele M., Marchal G., Van-Fraeyenhoven L., Bosmans H., Casaer P., Baert A.L., Moyamoya. Diagnostic par IRM et angiographie RMN, J Radiol, 71, pp. 119-123, (1990)
[5]  
Edelman R.R., Mattle H.P., Atkinson D.J., Hoogewoud H.M., MR angiography, AJR, 154, pp. 937-946, (1990)
[6]  
Edelman R.R., Mattle H.P., Reilly G.V., Wentz K.U., Liu C., Zhao B., Magnetic resonance imaging of flow dynamics in the circle of Willis, Stroke, 21, pp. 56-65, (1990)
[7]  
Fujisawa I., Asato R., Mishimura K., Kogashi K., Itoh K., Noma S., Sagoh T., Minami S., Nakano Y., Yonekawa Y., Moyamoya disease. MR imaging, Radiology, 164, pp. 103-105, (1987)
[8]  
Gordon N., Isler W., Childhood moyamoya disease, Develop Med Child Neurol, 31, pp. 98-107, (1989)
[9]  
Hankey G.J., Warlow C.P., Sellar R.J., Cerebral angiographic risk in mild cerebrovascular disease, Stroke, 21, pp. 209-222, (1990)
[10]  
Heiserman J.E., Drayer B.P., Keller P.J., Fram E.K., Intracranial vascular stenosis and occlusion: evaluation with three-dimensional time-of-flight MR angiography, Radiology, 185, pp. 667-673, (1992)