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Diffusion- and perfusion-weighted MRI in a patient with a prolonged reversible ischaemic neurological deficit

  • DIAGNOSTIC NEURORADIOLOGY
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Abstract

We report acute and follow-up diffusion- and perfusion-weighted MRI (DWI, PWI) findings in a patient with a prolonged reversible ischaemic neurological deficit. PWI 12 h after the patient was last seen to be without symptoms revealed a large perfusion deficit in the left posterior MCA territory with a relatively inconspicuous and much smaller abnormality on DWI. Follow-up showed resolution of abnormalities on both DWI and PWI, and conventional MRI was normal, apart from a very slight abnormality, visible only on FLAIR images, at the centre of the initially DWI-positive region. These findings demonstrate the utility of PWI when be used in combination with DWI to investigate the pathophysiology of transient ischemic syndromes.

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Received: 26 July 1999/Accepted: 20 September 1999

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Neumann-Haefelin, T., Wittsack, H., Wenserski, F. et al. Diffusion- and perfusion-weighted MRI in a patient with a prolonged reversible ischaemic neurological deficit. Neuroradiology 42, 444–447 (2000). https://doi.org/10.1007/s002340000303

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  • DOI: https://doi.org/10.1007/s002340000303

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