High-resolution diffusion-weighted imaging identifies ischemic lesions in a majority of transient ischemic attack patients

被引:19
作者
Hotter, Benjamin [1 ,2 ]
Galinovic, Ivana [1 ]
Kunze, Claudia [1 ]
Brunecker, Peter [1 ,3 ]
Jungehulsing, Gerhard J. [1 ,4 ]
Villringer, Arno [1 ,5 ]
Endres, Matthias [1 ,2 ,3 ,5 ,6 ,7 ]
Villringer, Kersten [1 ,2 ]
Fiebach, Jochen B. [1 ]
机构
[1] Charite Univ Med Berlin, Ctr Stroke Res Berlin, Berlin, Germany
[2] Charite Univ Med Berlin, Klin & Hsch Ambulanz Neurol, Berlin, Germany
[3] Berlin Inst Hlth, Berlin, Germany
[4] Jewish Hosp, Dept Neurol, Berlin, Germany
[5] Max Planck Inst Human Cognit & Brain Sci, Leipzig, Germany
[6] German Ctr Cardiovasc Res DZHK, Berlin, Germany
[7] German Ctr Neurodegenerat Dis DZNE, Berlin, Germany
关键词
MRI ABNORMALITIES; STROKE; REVERSAL;
D O I
10.1002/ana.25551
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Transient ischemic attack (TIA) is defined as focal neurological deficit caused by ischemia resolving within 24 hours. In a secondary analysis of a large monocentric cohort of 446 TIA patients, we explored the frequency and determinants of diffusion-weighted imaging (DWI) lesions on high-resolution magnetic resonance imaging. Overall, 240 (54%) of all TIA patients presented with DWI lesions. These patients had higher National Institute of Health Stroke Scale and ABCD2 scores and presented more frequently with vessel occlusion and perfusion deficits, but had similar functional outcome at 3 months. Taken together, high-resolution DWI provides evidence of ischemic brain injury in the majority of TIA patients. ANN NEUROL 2019
引用
收藏
页码:452 / 457
页数:6
相关论文
共 50 条
[41]   Factors Associated with Reversed Discrepancy between CT and Diffusion-Weighted Imaging in Hyperacute Ischemic Stroke Patients [J].
Kawano, Hiroyuki ;
Hirano, Teruyuki ;
Nakajima, Makoto ;
Inatomi, Yuichiro ;
Yonehara, Toshiro .
STROKE, 2013, 44 (02)
[42]   Circulating MicroRNA Profiling Identifies Distinct MicroRNA Signatures in Acute Ischemic Stroke and Transient Ischemic Attack Patients [J].
Toor, Salman M. ;
Aldous, Eman K. ;
Parray, Aijaz ;
Akhtar, Naveed ;
Al-Sarraj, Yasser ;
Abdelalim, Essam M. ;
Arredouani, Abdelilah ;
El-Agnaf, Omar ;
Thornalley, Paul J. ;
Pananchikkal, Sajitha V. ;
Pir, Ghulam Jeelani ;
Ayadathil, Raheem ;
Shuaib, Ashfaq ;
Alajez, Nehad M. ;
Albagha, Omar M. E. .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2023, 24 (01)
[43]   Unilateral temporal lobe stroke causing ischemic transient global amnesia: Role for diffusion-weighted imaging in the initial evaluation [J].
Greer, DM ;
Schaefer, PW ;
Schwamm, LH .
JOURNAL OF NEUROIMAGING, 2001, 11 (03) :317-319
[44]   Inter-vendor performance of deep learning in segmenting acute ischemic lesions on diffusion-weighted imaging: a multicenter study [J].
Alis, Deniz ;
Yergin, Mert ;
Alis, Ceren ;
Topel, Cagdas ;
Asmakutlu, Ozan ;
Bagcilar, Omer ;
Senli, Yeseren Deniz ;
Ustundag, Ahmet ;
Salt, Vefa ;
Dogan, Sebahat Nacar ;
Velioglu, Murat ;
Selcuk, Hakan Hatem ;
Kara, Batuhan ;
Oksuz, Ilkay ;
Kizilkilic, Osman ;
Karaarslan, Ercan .
SCIENTIFIC REPORTS, 2021, 11 (01)
[45]   Impact of Additional Lipid-Lowering Therapy on New Ischemic Lesions of Diffusion-Weighted Imaging in Carotid Artery Stenting [J].
Mizobe, Takashi ;
Nakamura, Mitsugu ;
Motooka, Yasuhiko ;
Ashida, Noriaki ;
Sugihara, Masahiro .
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2018, 27 (03) :764-770
[46]   Incidence and Risk Factors for Diffusion-Weighted Imaging (+) Lesions After Intracranial Stenting and Its Relationship With Symptomatic Ischemic Complications [J].
Park, Keun Young ;
Kim, Byung Moon ;
Kim, Dong Joon ;
Kim, Dong Ik ;
Heo, Ji Hoe ;
Nam, Hyo Suk ;
Kim, Young Dae ;
Song, Dongbeom .
STROKE, 2014, 45 (11) :3298-3303
[47]   Value of acute neurovascular imaging in patients with suspected transient ischemic attack [J].
Jalilianhasanpour, Rozita ;
Huntley, Joseph H. ;
Alvin, Matthew D. ;
Hause, Stephanie ;
Ali, Nabila ;
Urrutia, Victor ;
Sherbaf, Farzaneh Ghazi ;
Johnson, Pamela T. ;
Yousem, David M. ;
Yedavalli, Vivek .
EUROPEAN JOURNAL OF RADIOLOGY, 2022, 154
[48]   Diffusion-Weighted Imaging Findings of Ischemic Spinal Injury in a Chondrodystrophic Dog With Fibrocartilaginous Embolism [J].
Yun, Taesik ;
Lee, Kang-Il ;
Koo, Yoonhoi ;
Kim, Hakhyun ;
Chang, Dongwoo ;
Lee, Chulhyun ;
Yang, Mhan-Pyo ;
Kang, Byeong-Teck .
FRONTIERS IN VETERINARY SCIENCE, 2020, 7
[49]   Outcomes of Mechanical Thrombectomy in Patients with Large Diffusion-Weighted Imaging Lesions [J].
Cho, Yong-Hwan ;
Choi, Jae Hyung .
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 2022, 65 (01) :22-29
[50]   Management of patients with diffusion-weighted imaging-negative acute ischemic stroke: Retrospective analysis of 47 consecutive patients [J].
Fotso, Vicky Mekue ;
Leibinger, Franck ;
Lamelo, Sara Rivas ;
Azais, Benoit ;
Plantard, Carole ;
Farouil, Geoffroy ;
Fadat, Benedicte ;
Mahmoudi, Mehdi ;
Olivier, Nadege ;
Mas, Julie ;
Fryder, Ivan ;
Balde, Alpha Amadou ;
Tardieu, Maxime ;
Ekue, Wilfried ;
Seiller, Ian ;
Dumitrana, Adrian ;
Utges, Renata ;
Schmidt, Julia ;
Ortega, Laurent ;
Mesmoudi, Amina ;
Van Damme, Laurene ;
Sablot, Denis .
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2024, 33 (11)