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Research ArticleNeurointervention

Perfusion MR Neuroimaging in Patients Undergoing Balloon Test Occlusion of the Internal Carotid Artery

Eduard Michel, Haiying Liu, Kent B. Remley, Alastair J. Martin, Michael T. Madison, John Kucharczyk and Charles L. Truwit
American Journal of Neuroradiology September 2001, 22 (8) 1590-1596;
Eduard Michel
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Haiying Liu
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Kent B. Remley
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Alastair J. Martin
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Michael T. Madison
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John Kucharczyk
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Charles L. Truwit
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    fig 1.

    Patient 4: 50-year-old woman undergoing left internal carotid balloon test occlusion in whom neurologic symptoms developed 27 minutes into the procedure.

    A, Perfusion map shows delayed perfusion in the left hemisphere and no response in the right frontal borderzone.

    B, Axial turboFLAIR image (9000/110, TI = 2500) is normal.

    C, Contrast-enhanced axial turboFLAIR image shows curvilinear regions of hyperintensity in the subarachnoid spaces or pial surface on the left frontal region.

    D, Contrast-enhanced T1-weighted fat-saturation image (710/17) shows areas of short T1 relaxation in the corresponding regions, but more subtle than on the turboFLAIR image.

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    fig 2.

    Patient 8: 29-year-old woman undergoing right ICA balloon test occlusion who was asymptomatic throughout the procedure.

    A, Perfusion map shows delayed perfusion in the right hemisphere.

    B and C, Contrast-enhanced turboFLAIR images (9000/110, TI = 2500) show areas of hyperintensity in the right parietooccipital and right frontal regions, in the right middle cerebral artery—posterior cerebral artery and anterior cerebral artery—middle cerebral artery borderzone distributions of the right hemisphere.

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    TABLE 1:

    Patient demographics and indications for balloon test occlusion

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    TABLE 2:

    Clinical and neuroimaging findings

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American Journal of Neuroradiology: 22 (8)
American Journal of Neuroradiology
Vol. 22, Issue 8
1 Sep 2001
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Cite this article
Eduard Michel, Haiying Liu, Kent B. Remley, Alastair J. Martin, Michael T. Madison, John Kucharczyk, Charles L. Truwit
Perfusion MR Neuroimaging in Patients Undergoing Balloon Test Occlusion of the Internal Carotid Artery
American Journal of Neuroradiology Sep 2001, 22 (8) 1590-1596;

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Perfusion MR Neuroimaging in Patients Undergoing Balloon Test Occlusion of the Internal Carotid Artery
Eduard Michel, Haiying Liu, Kent B. Remley, Alastair J. Martin, Michael T. Madison, John Kucharczyk, Charles L. Truwit
American Journal of Neuroradiology Sep 2001, 22 (8) 1590-1596;
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