ISSN 1004-4140
CN 11-3017/P
Volume 31 Issue 3
May  2022
Turn off MathJax
Article Contents
Abstract
References
Related Articles
SUN R J, ZHANG S Y, CHENG X, et al. Imaging features and etiology of acute cerebral infarction in bilateral PICA territory[J]. CT Theory and Applications, 2022, 31(3): 337-344. DOI: 10.15953/j.ctta.2022.060. (in Chinese).
Citation: SUN R J, ZHANG S Y, CHENG X, et al. Imaging features and etiology of acute cerebral infarction in bilateral PICA territory[J]. CT Theory and Applications, 2022, 31(3): 337-344. DOI: 10.15953/j.ctta.2022.060. (in Chinese).
shu

Imaging Features and Etiology of Acute Cerebral Infarction in Bilateral PICA Territory

  • Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

More Information
  • Received Date: April 10, 2022
  • Revised Date: April 24, 2022
  • Accepted Date: April 24, 2022
  • Available Online: April 27, 2022
  • Published Date: May 22, 2022
    Graphical Abstract
    • Abstract
  • Objective: To investigate the MRI features and etiology of acute cerebral infarction in bilateral PICA territory. Methods: 38 patients with bilateral PICA and 40 patients with bilateral SCA diagnosed clinically and radiographically in Beijing Friendship Hospital of Capital Medical University from January 2019 to January 2022, were retrospectively analyzed. The difference of MRI features, were compared between the two groups, according to the size of the infarction, the distribution of infarcted lesions in posterior circulation or anterior circulation. The range of acute infarction in the bilateral PICA territory and the changes of vertebrobasilar artery were analyzed. Results: The proportion of the infarction model of one side regional infarction with the other side small infarct in bilateral PICA was significantly higher than that in bilateral SCA (39.5% vs. 15%), while the model of small infarction on both sides was lower than that in bilateral SCA (44.7% vs. 72.5%). The incidence of infarction in other blood supply areas of the combined posterior circulation was significantly lower than that in bilateral SCA (21% vs. 80%). The infarction models of bilateral PICA manifested as unilateral total infarct of PICA territory combined with the other unilateral infarct of mPICA territory (44.7%) or bilateral mPICA territory (39.5%). Unilateral vertebral artery V4 segment or PICA-localized severe stenosis/occlusion were more frequently detected in acute infarcts in bilateral PICA (54.2%). Conclusions: Bilateral PICA territory infarction mainly manifested as unilateral total infarct of PICA territory combined with the other unilateral or bilateral infarct of mPICA territory, and regional infarction was quite common, which was closely related to anatomical variation.
    • FullText(HTML)
    • References (13)
  • [1]
    DZIADKOWIAK E, CHOJDAK-ŁUKASIEWICZ J, GUZIŃSKI M, et al. The usefulness of the toast classification and prognostic significance of pyramidal symptoms during the acute phase of cerebellar ischemic stroke[J]. Cerebellum, 2015, 15(2): 159−164.
    [2]
    De COCKER L J, LÖVBLAD K O, HENDRIKSE J. MRI of Cerebellar Infarction[J]. European Neurology, 2017, 77(3/4): 137−146.
    [3]
    WANG P Q, DING Z G, ZHANG G B, et al. A study on lesion pattern of bilateral cerebellar infarct[J]. European Review for Medical and pharmacological Sciences, 2015, 19(10): 1845−1851.
    [4]
    张伟晴, 蔡俊秀, 樊露, 等. 双侧小脑急性梗死模式观察与分析[J]. 中华老年心脑血管病杂志, 2019,21(4): 403−406. DOI: 10.3969/j.issn.1009-0126.2019.04.017.

    ZHANG W Q, CAI J X, FAN L, et al. Analysis of acute bilateral cerebellar infarction patterns[J]. Chinese Journal of Geriatric Heart Brain and Vessel Diseases, 2019, 21(4): 403−406. DOI: 10.3969/j.issn.1009-0126.2019.04.017. (in Chinese).
    [5]
    AMARENCO P, LÉVY C, COHEN A, et al. Causes and mechanisms of territorial and nonterritorial cerebellar infarcts in 115 consecutive patients[J]. Stroke, 1994, 25(1): 105−112. doi: 10.1161/01.STR.25.1.105
    [6]
    HONG J M, BANG O Y, CHUNG C S, et al. Frequency and clinical significance of acute bilateral cerebellar infarcts[J]. Cerebrovascular Diseases, 2008, 26(5): 541−548. doi: 10.1159/000160211
    [7]
    PETTY G W, BROWN R D, WHISNANT J P, et al. Ischemic stroke subtypes: A population-based study of functional outcome, survival, and recurrence[J]. Stroke, 2000, 31(5): 1062−1068. DOI: 10.1161/01.STR.31.5.1062.
    [8]
    BOUKOBZA M, LAISSY J P. Unusual pattern of bilateral cerebellar infarct and bihemispheric posterior-inferior cerebellar artery[J]. Journal of Neurology, Neurosurgery and Psychiatry, 2021, 17: 433−436.
    [9]
    HAN S W, CHO G C, BAIK J S, et al. Bilateral cerebellar infarction caused by dominant medial posterior inferior cerebellar artery[J]. Neurology, 2006, 66(7): 1125−1126. doi: 10.1212/01.wnl.0000204293.27365.ec
    [10]
    MARINKOVIĆ S, KOVACEVIĆ M, GIBO H, et al. The anatomical basis for the cerebellar infarcts[J]. Surgical Neurology, 1995, 44(5): 460−461.
    [11]
    李雯雯, 孙启英, 易芳, 等. 小脑后下动脉解剖变异致双侧小脑梗死2例报道并文献复习[J]. 卒中与神经疾病, 2017,24(4): 302−305. DOI: 10.3969/j.issn.1007-0478.2017.04.006.

    LI W W, SUN Q Y, YI F, et al. Clinical analysis of bilateral cerebellar infarction caused by anatomic variations of the posterior inferior cerebellar artery in two patients and literature review[J]. Stroke and Nervous Diseases, 2017, 24(4): 302−305. DOI: 10.3969/j.issn.1007-0478.2017.04.006. (in Chinese).
    [12]
    程敏, 李浩然, 朱洋洋, 等. 小脑后下动脉少见变异导致的双侧小脑半球梗死1例报告[J]. 中风与神经疾病杂志, 2015,32(6): 556−557.
    [13]
    FUJIMOTO M, SALAMON N, MAYOR F, et al. Characterization of arterial thrombus compostion by magnetic resonance imaging in a swine stroke model[J]. Stroke, 2013, 44(5): 1463. doi: 10.1161/STROKEAHA.111.000457
    • Related Articles

  • Related Articles

    [1]QI Rongfei, JIANG Wenlong, HAO Yunyun, YANG Liusha, CHANG Yingjuan, WU Zhibin. A Study of Image Quality and Radiation Dose in Lower Extremity Computed Tomography Angiography Using Caudo-cranial Flash Scanning[J]. CT Theory and Applications, 2025, 34(3): 385-391. DOI: 10.15953/j.ctta.2024.210
    [2]HUANG Xiaoying, GUO Fangkai, WANG Pengchao, SHAN Chunhui, BAO Yunfeng. Diagnostic Value of Dual-energy Computed Tomography Combined with Standardized Iodine Content in Assessing Restenosis of Lower Extremity Artery Stents[J]. CT Theory and Applications, 2024, 33(6): 701-708. DOI: 10.15953/j.ctta.2024.141
    [3]FENG Mengya, LI Bing, WU Min, HUA Ting, TANG Guangyu. Application of New Iterative Reconstruction Algorithm Based on Artificial Intelligence and Low Tube Voltage in Reducing the Radiation Dose of Coronary CTA in Obese Patients[J]. CT Theory and Applications, 2023, 32(6): 777-782. DOI: 10.15953/j.ctta.2022.148
    [4]WANG Xu, YANG Ying, YIN Shuo, WU Ge, DENG Gang, YIN Xiaoming, ZENG Qingyu, DENG Maosong. Study on the Optimal Dosage of Gadolinium Contrast Agent for Lower Extremity Artery CE-MRA Angiography[J]. CT Theory and Applications, 2022, 31(2): 203-210. DOI: 10.15953/j.ctta.2021.033
    [5]JIANG Yi, QIN Lixin, TIAN Kui, SHA Jinlu, ZHOU Chunhua. Clinical Value of Double Low Examination Technique Based on KARL 3D Iterative Reconstruction Algorithm in Bronchial Artery Imaging[J]. CT Theory and Applications, 2021, 30(6): 753-760. DOI: 10.15953/j.1004-4140.2021.30.06.11
    [6]ZHANG Jun, LIU Jiayi, LIANG Zhipeng. Clinical Application of Low Tube Voltage Combined with Iterative Reconstruction in Lower Extremity Arterial CTA[J]. CT Theory and Applications, 2020, 29(1): 55-60. DOI: 10.15953/j.1004-4140.2020.29.01.07
    [7]HE Wei-hong, FU Xi, KE Qi, YUAN Jian-xiang, DONG Xiang-yu. Analysis of 64 Slice Spiral CT Angiography in Diabetic Lower Extremity Arterial Disease[J]. CT Theory and Applications, 2018, 27(3): 373-378. DOI: 10.15953/j.1004-4140.2018.27.03.10
    [8]CAO Yu, ZHANG Yong-xian. Comparison of Multi-slice Spiral CT Imaging for Cardiac Coronary Arteries with Different Radiation Doses[J]. CT Theory and Applications, 2016, 25(1): 95-101. DOI: 10.15953/j.1004-4140.2016.25.01.12
    [9]LI Yan-hua, YU Peng, GONG Feng-ling, MA Chun-mei, ZHANG Hui-ying. The Feasibilty of Double Lower Technique in Abdominal Aorta Combining Lower Extremity Arteries CT Angiography[J]. CT Theory and Applications, 2016, 25(1): 71-78. DOI: 10.15953/j.1004-4140.2016.25.01.09
    [10]FU Chuan-ming, WU De-hong, XU Lin, CHEN Lun-gang, WANG Zhong-ping, XIONG Yin. Reduce the Radiation Dose in the Lower Extremities to Explore the Feasibility of CTA[J]. CT Theory and Applications, 2014, 23(3): 467-473.

Catalog

    Get Citation
    PDF
    XML
    Article views (312) PDF downloads (23) Cited by()
    Related

    Website Copyright © Editorial Office of Computerized Tomography Theory and Applications

    Address：No.5 Minzudaxue Nanlu,Haidian District,Beijing 100081,P.R.China（100081）

    E-mail：cttacn@cea-igp.ac.cn

    Phone：010-68729234

    京ICP备08002722号-11

    震球期刊
    CT理论与应用研究-中英文
    E-mail
    RSS

    Supported by: Beijing Renhe Information Technology Co. Ltd     Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return