The diagnostic contribution of intracranial vessel wall imaging in the differentiation of primary angiitis of the central nervous system from other intracranial vasculopathies

2021 ◽  
Author(s):  
Ahmet Kursat Karaman ◽  
Bora Korkmazer ◽  
Serdar Arslan ◽  
Ugur Uygunoglu ◽  
Ercan Karaarslan ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Vessel Wall ◽  
Vessel Wall Imaging ◽  
Intracranial Vessel ◽  
Primary Angiitis ◽  
The Central Nervous System ◽  
Wall Imaging

scholarly journals 3D Whole Brain Vessel Wall Imaging of Primary Angiitis of the Central Nervous System: 5 Cases and Literature Review

2019 ◽  
Author(s):  
Yao Yu ◽  
Hong-Wei Zhou ◽  
Zhen-Ni Guo ◽  
Hang Jin ◽  
Fu-Liang Zhang ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Vessel Wall ◽  
Vessel Wall Imaging ◽  
Whole Brain ◽  
Brain Vasculature ◽  
Primary Angiitis ◽  
The Central Nervous System ◽  
Wall Imaging

Abstract Background Primary angiitis of the central nervous system is an uncommon single-organ vasculitis that is still poorly understood, and its diagnosis can be quite challenging. Traditional vascular imaging techniques could only show the abnormality of vessel lumen, while primary angiitis of the central nervous system as well as atherosclerosis or other mimics could show similar patterns, like tapering of the vessel lumen or multiple stenosis. Vessel wall magnetic resonance imaging can directly visualize the abnormality of the vessel wall, therefore has become a valuable approach for vasculopathy evaluation. However, 2D vessel wall magnetic resonance imaging can only be restricted to one fixed angle for one scanning process, while vasculitis tends to involve multiple vessels. With the development of 3D isotropic vessel wall imaging sequence, it can achieve a thorough view of the whole brain vasculature in shorter time and apply reconstruction in any angle. Reasonably, 3D isotropic vessel wall imaging could help with the diagnosis, evaluation and follow-up of primary angiitis of the central nervous system more effectively. Case presentation We present five cases of primary angiitis of the central nervous system that underwent 3D isotropic vessel wall imaging, along with follow-up. The diagnosis of primary angiitis of the central nervous system was made by classic diagnosis criteria. The youngest patient was 21 years old, while the oldest one was 49 years old. As for disease onset, one patient presented with headache, while other four patients presented with ischemic stroke. Both anterior circulation and posterior circulation of the five patients were involved, regardless of the responsible vessel. They were given steroids, immunosuppressor or parahormone for management. On follow-up vessel imaging, one patient displayed gradual vessel occlusion in 12 months, one patient showed partial resolution, other three patients presented with vasculopathy persistence. Conclusions 3D isotropic vessel wall imaging could evaluate the specific responsible vessel as well as the whole brain vasculature in one-time scan, providing detailed information in detection, diagnosis, evaluation and follow-up. Moreover, primary angiitis of the central nervous system tend to be multi-vessel involving, so the 3D isotropic vessel wall imaging could be more applicable.

scholarly journals High-resolution vessel wall imaging in primary angiitis of central nervous system

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
PN Sylaja ◽  
Soumya Sundaram ◽  
PNaveen Kumar ◽  
DevPrakash Sharma ◽  
Chandrasekharan Kesavadas ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
High Resolution ◽  
Vessel Wall ◽  
Vessel Wall Imaging ◽  
Primary Angiitis ◽  
Wall Imaging

scholarly journals Vessel-wall Imaging for Primary Angiitis of Central Nervous System Diagnosis

2021 ◽  
Vol 27 (1) ◽  
pp. 95-97
Author(s):  
Doğan Dinç Öge ◽  
Ethem Murat Arsava ◽  
Ayça Akgöz Karaosmanoğlu ◽  
Khayala Aghamirzayeva ◽  
Rahşan Göçmen ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Vessel Wall ◽  
Vessel Wall Imaging ◽  
System Diagnosis ◽  
Primary Angiitis ◽  
Wall Imaging

Vessel Wall Enhancement in Unilateral Primary Angiitis of the Central Nervous System

2021 ◽  
pp. 1-7
Author(s):  
Adrian Budhram ◽  
Shailee S. Shah ◽  
Christopher P. Wood ◽  
Michael A. Lane ◽  
Kyle Smoot ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Vessel Wall ◽  
Primary Angiitis ◽  
The Central Nervous System

scholarly journals Magnetic Resonance Vessel Wall Imaging in Central Nervous System Vasculitides

2020 ◽  
Vol 25 (6) ◽  
pp. 174-177
Author(s):  
Matthew M. Padrick ◽  
Marcel M. Maya ◽  
Zhaoyang Fan ◽  
Nicholas Szumski ◽  
Patrick D. Lyden ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Magnetic Resonance ◽  
Vessel Wall ◽  
Vessel Wall Imaging ◽  
Wall Imaging

Vessel wall enhancement in the diagnosis and management of primary angiitis of the central nervous system in children

2016 ◽  
Vol 38 (7) ◽  
pp. 694-698 ◽  
Author(s):  
Koyo Ohno ◽  
Yoshiaki Saito ◽  
Hirofumi Kurata ◽  
Yusuke Saiki ◽  
Hiroko Ohtahara ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Vessel Wall ◽  
Diagnosis And Management ◽  
Primary Angiitis ◽  
The Central Nervous System

Current uses of intracranial vessel wall imaging for clinical practice: a high-resolution MR technique recently available

2020 ◽  
Vol 78 (10) ◽  
pp. 642-650
Author(s):  
Felipe Torres PACHECO ◽  
Luiz Celso Hygino da CRUZ JUNIOR ◽  
Igor Gomes PADILHA ◽  
Renato Hoffmann NUNES ◽  
Antônio Carlos Martins MAIA JUNIOR ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Vessel Wall ◽  
Vascular Diseases ◽  
Vascular Wall ◽  
Vessel Wall Imaging ◽  
Clinical Settings ◽  
Direct Evaluation ◽  
Intracranial Vessel ◽  
Indirect Evaluation ◽  
Wall Imaging

ABSTRACT Intracranial vessel wall imaging plays an increasing role in diagnosing intracranial vascular diseases. With the growing demand and subsequent increased use of this technique in clinical practice, radiologists and neurologists should be aware of the choices in imaging parameters and how they affect image quality, clinical indications, methods of assessment, and limitations in the interpretation of these images. Due to the improvement of the MRI techniques, the possibility of accurate and direct evaluation of the abnormalities in the arterial vascular wall (vessel wall imaging) has evolved, adding substantial data to diagnosis when compared to the indirect evaluation based on conventional flow analyses. Herein, the authors proposed a comprehensive approach of this technique reinforcing appropriated clinical settings to better use intracranial vessel wall imaging.

scholarly journals Lymphocytic primary angiitis of the central nervous system with fan-shaped linear enhancement converging to the lateral ventricles: a case report

2014 ◽  
Vol 54 (9) ◽  
pp. 709-714
Author(s):  
Taro Okunomiya ◽  
Takashi Kageyama ◽  
Kanta Tanaka ◽  
Daisuke Kambe ◽  
Akiyo Shinde ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Lateral Ventricles ◽  
Primary Angiitis ◽  
The Central Nervous System
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