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Perfusion weighted imaging in the assessment of the pathology and outcomes of lateral medullary infarction.
Neurosciences (Riyadh). 2016 Oct; 21(4):361-365.N

Abstract

This series case report aimed to elucidate the underlying pathology and outcomes of lateral medullary infarction (LMI) using perfusion weighted imaging (PWI). Four patients were diagnosed with LMI based on high-field diffusion-weighted magnetic resonance imaging (MRI-DWI) and PWI. The national institutes of health stroke scale (NIHSS) scores were recorded on days 1, 7, and 30, and the Barthel index was assessed on days 7 and 30. Three patients exhibited relative regional hypoperfusion of medullary lesion in the perfusion maps. Two cases exhibited ipsilateral hypoperfusion in the inferior cerebellum, whereas one patient exhibited a relatively regional hyperperfusion in the medulla oblongata. The LMI patients with a high NIHSS score and low Barthel index on days 7 and 30 exhibited regional hypoperfusion. This report of 4 LMI cases provides preliminary evidence that regional hypoperfusion may contribute to worse outcomes in LMI.

Authors+Show Affiliations

Department of Neurology, Zhengzhou People`s Hospital, Zhengzhou, China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27744467

Citation

Zhang, Dao P., et al. "Perfusion Weighted Imaging in the Assessment of the Pathology and Outcomes of Lateral Medullary Infarction." Neurosciences (Riyadh, Saudi Arabia), vol. 21, no. 4, 2016, pp. 361-365.
Zhang DP, Zhang HT, Yin S, et al. Perfusion weighted imaging in the assessment of the pathology and outcomes of lateral medullary infarction. Neurosciences (Riyadh). 2016;21(4):361-365.
Zhang, D. P., Zhang, H. T., Yin, S., & Yan, F. L. (2016). Perfusion weighted imaging in the assessment of the pathology and outcomes of lateral medullary infarction. Neurosciences (Riyadh, Saudi Arabia), 21(4), 361-365. https://doi.org/10.17712/nsj.2016.4.20160282
Zhang DP, et al. Perfusion Weighted Imaging in the Assessment of the Pathology and Outcomes of Lateral Medullary Infarction. Neurosciences (Riyadh). 2016;21(4):361-365. PubMed PMID: 27744467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perfusion weighted imaging in the assessment of the pathology and outcomes of lateral medullary infarction. AU - Zhang,Dao P, AU - Zhang,Hong T, AU - Yin,Suo, AU - Yan,Fu L, PY - 2016/10/17/entrez PY - 2016/10/17/pubmed PY - 2017/6/21/medline SP - 361 EP - 365 JF - Neurosciences (Riyadh, Saudi Arabia) JO - Neurosciences (Riyadh) VL - 21 IS - 4 N2 - This series case report aimed to elucidate the underlying pathology and outcomes of lateral medullary infarction (LMI) using perfusion weighted imaging (PWI). Four patients were diagnosed with LMI based on high-field diffusion-weighted magnetic resonance imaging (MRI-DWI) and PWI. The national institutes of health stroke scale (NIHSS) scores were recorded on days 1, 7, and 30, and the Barthel index was assessed on days 7 and 30. Three patients exhibited relative regional hypoperfusion of medullary lesion in the perfusion maps. Two cases exhibited ipsilateral hypoperfusion in the inferior cerebellum, whereas one patient exhibited a relatively regional hyperperfusion in the medulla oblongata. The LMI patients with a high NIHSS score and low Barthel index on days 7 and 30 exhibited regional hypoperfusion. This report of 4 LMI cases provides preliminary evidence that regional hypoperfusion may contribute to worse outcomes in LMI. SN - 1319-6138 UR - https://www.unboundmedicine.com/medline/citation/27744467/Perfusion_weighted_imaging_in_the_assessment_of_the_pathology_and_outcomes_of_lateral_medullary_infarction_ DB - PRIME DP - Unbound Medicine ER -