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Open Access 01-12-2016 | Case report

Diagnosis and follow-up of posterior inferior cerebellar artery dissection complicated with ischemic stroke assisted by T1-VISTA: a report of two cases

Authors: Koji Ishitsuka, Yusuke Sakaki, Shota Sakai, Takeshi Uwatoko, Hitoshi Aibe, Tetsuro Ago, Takanari Kitazono, Hiroshi Sugimori

Published in: BMC Neurology | Issue 1/2016

Abstract

Background

Volume isotropic turbo spin-echo acquisition (VISTA) is a new method similar to the 3D black-blood imaging method that enables visualization of a intramural hematoma. T1-VISTA has recently been applied in the diagnosis of intracranial arterial dissection. However, the identification of an intramural hematoma in posterior inferior cerebellar dissection (PICA-D) by T1-VISTA has only rarely been reported.

Case presentation

We herein report two patients who suffered from PICA-D complicated with ischemic stroke. Initial magnetic resonance arteriography was not informative, however, T1-VISTA depicted high-intensity signal areas suggesting an intramural hematoma of PICA-D in both cases. The high-intensity signal areas gradually reduced and finally disappeared at 4 months and 5 months after the onset, respectively.

Conclusion

Our cases demonstrate that T1-VISTA was able to assist in the diagnosis and follow-up of PICA-D.

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Title: Diagnosis and follow-up of posterior inferior cerebellar artery dissection complicated with ischemic stroke assisted by T1-VISTA: a report of two cases
Authors: Koji Ishitsuka
Yusuke Sakaki
Shota Sakai
Takeshi Uwatoko
Hitoshi Aibe
Tetsuro Ago
Takanari Kitazono
Hiroshi Sugimori
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Neurology / Issue 1/2016
Electronic ISSN: 1471-2377
DOI: https://doi.org/10.1186/s12883-016-0637-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Diagnosis and follow-up of posterior inferior cerebellar artery dissection complicated with ischemic stroke assisted by T1-VISTA: a report of two cases

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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