Perfusion-weighted magnetic resonance imaging in patients with vasospasm: a useful new tool in the management of patients with subarachnoid hemorrhage.
Identifieur interne : 000722 ( PubMed/Corpus ); précédent : 000721; suivant : 000723Perfusion-weighted magnetic resonance imaging in patients with vasospasm: a useful new tool in the management of patients with subarachnoid hemorrhage.
Auteurs : Frank Hertel ; Christof Walter ; Martin Bettag ; Maria MörsdorfSource :
- Neurosurgery [ 1524-4040 ] ; 2005.
English descriptors
- KwdEn :
- MESH :
- complications : Subarachnoid Hemorrhage.
- diagnosis : Vasospasm, Intracranial.
- etiology : Vasospasm, Intracranial.
- methods : Magnetic Resonance Imaging.
- Adult, Aged, Female, Humans, Male, Middle Aged, Ultrasonography, Doppler, Transcranial.
Abstract
Cerebral vasospasm (VSP) is one of the most important risk factors for the development of a delayed neurological deficit after subarachnoid hemorrhage (SAH). Perfusion-weighted magnetic resonance imaging (pwMRI) provides the possibility of detecting tissue at risk for infarction. The objective of our study was to evaluate the feasibility and impact of pwMRI in the management of SAH patients.
PubMed: 15617583
Links to Exploration step
pubmed:15617583Le document en format XML
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<author><name sortKey="Hertel, Frank" sort="Hertel, Frank" uniqKey="Hertel F" first="Frank" last="Hertel">Frank Hertel</name>
<affiliation><nlm:affiliation>Department of Neurosurgery, Krankenhaus der Barmherzigen Brueder, Trier, Germany. f.hertel@bk-trier.de</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Walter, Christof" sort="Walter, Christof" uniqKey="Walter C" first="Christof" last="Walter">Christof Walter</name>
</author>
<author><name sortKey="Bettag, Martin" sort="Bettag, Martin" uniqKey="Bettag M" first="Martin" last="Bettag">Martin Bettag</name>
</author>
<author><name sortKey="Morsdorf, Maria" sort="Morsdorf, Maria" uniqKey="Morsdorf M" first="Maria" last="Mörsdorf">Maria Mörsdorf</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Perfusion-weighted magnetic resonance imaging in patients with vasospasm: a useful new tool in the management of patients with subarachnoid hemorrhage.</title>
<author><name sortKey="Hertel, Frank" sort="Hertel, Frank" uniqKey="Hertel F" first="Frank" last="Hertel">Frank Hertel</name>
<affiliation><nlm:affiliation>Department of Neurosurgery, Krankenhaus der Barmherzigen Brueder, Trier, Germany. f.hertel@bk-trier.de</nlm:affiliation>
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<author><name sortKey="Walter, Christof" sort="Walter, Christof" uniqKey="Walter C" first="Christof" last="Walter">Christof Walter</name>
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<author><name sortKey="Bettag, Martin" sort="Bettag, Martin" uniqKey="Bettag M" first="Martin" last="Bettag">Martin Bettag</name>
</author>
<author><name sortKey="Morsdorf, Maria" sort="Morsdorf, Maria" uniqKey="Morsdorf M" first="Maria" last="Mörsdorf">Maria Mörsdorf</name>
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<series><title level="j">Neurosurgery</title>
<idno type="eISSN">1524-4040</idno>
<imprint><date when="2005" type="published">2005</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Subarachnoid Hemorrhage (complications)</term>
<term>Ultrasonography, Doppler, Transcranial</term>
<term>Vasospasm, Intracranial (diagnosis)</term>
<term>Vasospasm, Intracranial (etiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Subarachnoid Hemorrhage</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Vasospasm, Intracranial</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Vasospasm, Intracranial</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Magnetic Resonance Imaging</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Ultrasonography, Doppler, Transcranial</term>
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<front><div type="abstract" xml:lang="en">Cerebral vasospasm (VSP) is one of the most important risk factors for the development of a delayed neurological deficit after subarachnoid hemorrhage (SAH). Perfusion-weighted magnetic resonance imaging (pwMRI) provides the possibility of detecting tissue at risk for infarction. The objective of our study was to evaluate the feasibility and impact of pwMRI in the management of SAH patients.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15617583</PMID>
<DateCreated><Year>2004</Year>
<Month>12</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted><Year>2006</Year>
<Month>05</Month>
<Day>30</Day>
</DateCompleted>
<DateRevised><Year>2004</Year>
<Month>12</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1524-4040</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>56</Volume>
<Issue>1</Issue>
<PubDate><Year>2005</Year>
</PubDate>
</JournalIssue>
<Title>Neurosurgery</Title>
<ISOAbbreviation>Neurosurgery</ISOAbbreviation>
</Journal>
<ArticleTitle>Perfusion-weighted magnetic resonance imaging in patients with vasospasm: a useful new tool in the management of patients with subarachnoid hemorrhage.</ArticleTitle>
<Pagination><MedlinePgn>28-35; discussion 35</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Cerebral vasospasm (VSP) is one of the most important risk factors for the development of a delayed neurological deficit after subarachnoid hemorrhage (SAH). Perfusion-weighted magnetic resonance imaging (pwMRI) provides the possibility of detecting tissue at risk for infarction. The objective of our study was to evaluate the feasibility and impact of pwMRI in the management of SAH patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">From a consecutive series of 180 patients experiencing SAH and treated at our institution over a 3-year period, we identified 20 who underwent pwMRI during their acute illness. For these 20 patients, the results of pwMRI were compared with the results of diffusion-weighted MRI, transcranial Doppler sonography, and neurological examinations performed at the same time and with repeated pwMRI examinations of the same patient at different times.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Nineteen of 20 patients showed perfusion changes predominantly in the time maps. Fifteen of 19 patients with changes in pwMRI had a neurological deficit at the same time. In 7 of 15 patients with neurological deterioration, transcranial Doppler sonography showed signs of VSP, whereas all 15 patients showed alterations in pwMRI. The areas of perfusion changes in pwMRI correlated well with the neurological deficits of the patients and were larger than the areas of changed diffusion in diffusion-weighted MRI performed at the same time. There were no clinical complications with regard to the pwMRI examinations.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">pwMRI is safe and helpful in the management of patients with VSP after SAH. The sensitivity of pwMRI is higher than that of transcranial Doppler sonography in the detection of decreased perfusion as a result of VSP. pwMRI can detect tissue at risk before definitive infarction occurs and therefore may lead to a change of therapy in those patients.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hertel</LastName>
<ForeName>Frank</ForeName>
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<AffiliationInfo><Affiliation>Department of Neurosurgery, Krankenhaus der Barmherzigen Brueder, Trier, Germany. f.hertel@bk-trier.de</Affiliation>
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<Author ValidYN="Y"><LastName>Walter</LastName>
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<Author ValidYN="Y"><LastName>Bettag</LastName>
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<Author ValidYN="Y"><LastName>Mörsdorf</LastName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Neurosurgery</MedlineTA>
<NlmUniqueID>7802914</NlmUniqueID>
<ISSNLinking>0148-396X</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Neurosurgery. 2006 Mar;58(3):E590; author reply E590</RefSource>
<PMID Version="1">16528172</PMID>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008279" MajorTopicYN="Y">Magnetic Resonance Imaging</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D013345" MajorTopicYN="N">Subarachnoid Hemorrhage</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017585" MajorTopicYN="N">Ultrasonography, Doppler, Transcranial</DescriptorName>
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<MeshHeading><DescriptorName UI="D020301" MajorTopicYN="N">Vasospasm, Intracranial</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
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