Nonstenotic Culprit Plaque: The Utility of High-Resolution Vessel Wall MRI of Intracranial Vessels after Ischemic Stroke
Joint Authors
Yuan, Chun
Tirschwell, David
Hatsukami, Thomas
Anzai, Yoshimi
Becker, Kyra
Sultan-Qurraie, Ali
Mossa-Basha, Mahmud
de Havenon, Adam
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-08-06
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Intracranial atherosclerotic disease (ICAD) accounts for 9–15% of ischemic stroke in the United States.
Although highly stenotic ICAD accounts for most of the strokes, it is assumed that nonstenotic ICAD (nICAD) can result in stroke, despite being missed on standard luminal imaging modalities.
We describe a patient with nICAD who suffered recurrent thromboembolic stroke and TIA but had a negative conventional stroke workup.
As a result, they were referred for high-resolution magnetic resonance imaging (HR-MRI) of the arterial vessel wall, which identified a nonstenotic plaque with multiple high-risk features, identifying it as the etiology of the patient’s thromboembolic events.
The diagnosis resulted in a transition from anticoagulation to antiplatelet therapy, after which the patient’s clinical events resolved.
HR-MRI is an imaging technique that has the potential to guide medical management for patients with ischemic stroke, particularly in cryptogenic stroke.
American Psychological Association (APA)
de Havenon, Adam& Yuan, Chun& Tirschwell, David& Hatsukami, Thomas& Anzai, Yoshimi& Becker, Kyra…[et al.]. 2015. Nonstenotic Culprit Plaque: The Utility of High-Resolution Vessel Wall MRI of Intracranial Vessels after Ischemic Stroke. Case Reports in Radiology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059912
Modern Language Association (MLA)
de Havenon, Adam…[et al.]. Nonstenotic Culprit Plaque: The Utility of High-Resolution Vessel Wall MRI of Intracranial Vessels after Ischemic Stroke. Case Reports in Radiology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059912
American Medical Association (AMA)
de Havenon, Adam& Yuan, Chun& Tirschwell, David& Hatsukami, Thomas& Anzai, Yoshimi& Becker, Kyra…[et al.]. Nonstenotic Culprit Plaque: The Utility of High-Resolution Vessel Wall MRI of Intracranial Vessels after Ischemic Stroke. Case Reports in Radiology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059912
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059912