Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Evaluation of routine topo-morphometric criteria of multispiral computed tomography and magnetic resonance imaging in the diagnosis of nonhemorrhagic stroke, caused by cerebral venous thrombosis

Authors: S.E. Semenov 1, I.V. Moldavskaya 1, A.V. Kovalenko 1, A.A. Khromov 1, A.N. Khromova 1, E.A. Zhuchkova 1, M.G. Shatokhina 2

Company:
1 Research Institute for Complex Issues of Cardiovascular Diseases, Siberian Branch of the Russian Academy of Medical Sciences, Sosnovyy bul’var, 6, Kemerovo, 650002, Russian Federation;
2 S.M. Berezin Treatment and Diagnostic Center of International Biologic Systems Institute, ul. Volgogradskaya, 37, Kemerovo, 650056, Russian Federation

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Link: Clinical Physiology of Blood Circulaiton. 2013; (): -

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Abstract

The determination of venous or arterial genesis of insult demands angiographic and perfusion CT- and MR-methods. In this time, the national and international recommendations limit the neurovisualization only routine MSCT and conventional MRI for reducing lose time for revascularization window . This investigation does assessment of significant and reliable symptoms of routine MSCT and MRI such as hyperdense and hyperintensive vessels, location, measurement and shape of insult focus. The role these symptoms in venous or arterial insult differential diagnostics was determine by statistic correlation between their and other contrast verified dates of MSCT-, MR-angiography, perfusion CT and diffusion MRI. Such the measurement insult focus on T2WI with MRI is high estimate like strong correlative between DWI on MRI and CBV-mapping on perfusion CT which are validity final cerebrum infarct size markers. The typical locations for venous insult are shown: 1) parietal and occipital lobes, cerebellum in superior saggital or lateral (transverse/sigmoid) sinuses thrombosis cases; 2) corpus callosum and thalami in inferior saggital and straight sinuses/internal veins thrombosis cases. There are irregular shape and non-arterial vascular territory does different between venous from arterial insult.

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