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Serial Arterial Spin Labeling May Be Useful in Assessing the Therapeutic Course of Cerebral Venous Thrombosis : Case Reports

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Title: Serial Arterial Spin Labeling May Be Useful in Assessing the Therapeutic Course of Cerebral Venous Thrombosis : Case Reports
Authors: Furuya, Sho Browse this author
Kawabori, Masahito Browse this author →KAKEN DB
Fujima, Noriyuki Browse this author →KAKEN DB
Tokairin, Kikutaro Browse this author
Goto, Shuho Browse this author
Iwasaki, Motoyuki Browse this author
Niiya, Yoshimasa Browse this author
Mabuchi, Shoji Browse this author
Keywords: cerebral venous sinus thrombosis
arterial spin labeling
transverse-sigmoid sinus thrombosis
superior sagittal sinus thrombosis
Issue Date: Oct-2017
Publisher: The Japan Neurosurgical Society
Journal Title: Neurologia medico-chirurgica
Volume: 57
Issue: 10
Start Page: 557
End Page: 561
Publisher DOI: 10.2176/
Abstract: We report two cases of cerebral venous thrombosis (CVT) which serial arterial spin labeling (ASL) was useful in evaluating the clinical course of the disease. A 48-year-old female presented with acute seizure, and was diagnosed as transverse-sigmoid sinus thrombosis. ASL imaging revealed low signal intensity in the right temporal lobe, suggesting the decreased perfusion by elevated venous pressure. Soon after the treatment, while the development of venous collateral has not fully observed by magnetic resonance (MR) angiography, low ASL signal within the right temporal lobe have shown remarkable improvement. A 65-year-old female presented with vomiting and subsequent seizure was diagnosed as superior sagittal sinus thrombosis. The low ASL signal within the right frontal lobe seen in the acute stage improved to the normal level by the course of time, before the good collateral can be seen by MR angiography. This is the first report to assess the sequential change of the cerebral perfusion of CVT by ASL, and ASL may provide additional useful information in combination with conventional modalities.
Type: article
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 川堀 真人

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