Intravenous therapy at basilar artery occlusion: MRI findings at 1.5 and 3 T

Purpose: Acute basilar artery occlusion is a life threatening condition which requires rapid diagnosis and treatment. The purpose of this paper is to compare MR findings of basilar artery occlusion before and after systemic treatment at 1.5 and 3 T. Material and Methods: MRI was performed according...

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Main Authors: Küker, W, Schulz, J, Kastrup, A, Nägele, T, Krapf, H
Format: Journal article
Language:German
Published: 2003
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author Küker, W
Schulz, J
Kastrup, A
Nägele, T
Krapf, H
author_facet Küker, W
Schulz, J
Kastrup, A
Nägele, T
Krapf, H
author_sort Küker, W
collection OXFORD
description Purpose: Acute basilar artery occlusion is a life threatening condition which requires rapid diagnosis and treatment. The purpose of this paper is to compare MR findings of basilar artery occlusion before and after systemic treatment at 1.5 and 3 T. Material and Methods: MRI was performed according to a stroke protocol in a patient with acute basilar artery occlusion before and after systemic treatment. The examinations at 1.5 and 3 T included T2- and diffusion-weighted sequences as well as MRA using a time-of-flight technique. Results: The initial MRI demonstrated basilar artery occlusion as well as early signs of brainstem ischemia. Complete recanalization was achieved by systemic therapy with rt-PA and Abciximab. MRI at 3 T supplied superior flow information by MRA and demonstrated high sensitivity for intracerebral haemorrhage. Diffusion-weighted images at 3 T were of good quality and not degraded by susceptibility artefacts in the posterior fossa. Conclusions: Stroke-MRI for basilar artery occlusion can be performed at 1.5 and 3 T. The advantages of high-field MRI seem to be superior quality of MRA and high sensitivity for intracerebral haemorrhage. Basilar artery recanalization can be achieved using a systemic protocol combining rt-PA with Abciximab.
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spelling oxford-uuid:475586a7-6d21-4b82-a165-63b37d6147312022-03-26T15:19:32ZIntravenous therapy at basilar artery occlusion: MRI findings at 1.5 and 3 TJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:475586a7-6d21-4b82-a165-63b37d614731GermanSymplectic Elements at Oxford2003Küker, WSchulz, JKastrup, ANägele, TKrapf, HPurpose: Acute basilar artery occlusion is a life threatening condition which requires rapid diagnosis and treatment. The purpose of this paper is to compare MR findings of basilar artery occlusion before and after systemic treatment at 1.5 and 3 T. Material and Methods: MRI was performed according to a stroke protocol in a patient with acute basilar artery occlusion before and after systemic treatment. The examinations at 1.5 and 3 T included T2- and diffusion-weighted sequences as well as MRA using a time-of-flight technique. Results: The initial MRI demonstrated basilar artery occlusion as well as early signs of brainstem ischemia. Complete recanalization was achieved by systemic therapy with rt-PA and Abciximab. MRI at 3 T supplied superior flow information by MRA and demonstrated high sensitivity for intracerebral haemorrhage. Diffusion-weighted images at 3 T were of good quality and not degraded by susceptibility artefacts in the posterior fossa. Conclusions: Stroke-MRI for basilar artery occlusion can be performed at 1.5 and 3 T. The advantages of high-field MRI seem to be superior quality of MRA and high sensitivity for intracerebral haemorrhage. Basilar artery recanalization can be achieved using a systemic protocol combining rt-PA with Abciximab.
spellingShingle Küker, W
Schulz, J
Kastrup, A
Nägele, T
Krapf, H
Intravenous therapy at basilar artery occlusion: MRI findings at 1.5 and 3 T
title Intravenous therapy at basilar artery occlusion: MRI findings at 1.5 and 3 T
title_full Intravenous therapy at basilar artery occlusion: MRI findings at 1.5 and 3 T
title_fullStr Intravenous therapy at basilar artery occlusion: MRI findings at 1.5 and 3 T
title_full_unstemmed Intravenous therapy at basilar artery occlusion: MRI findings at 1.5 and 3 T
title_short Intravenous therapy at basilar artery occlusion: MRI findings at 1.5 and 3 T
title_sort intravenous therapy at basilar artery occlusion mri findings at 1 5 and 3 t
work_keys_str_mv AT kukerw intravenoustherapyatbasilararteryocclusionmrifindingsat15and3t
AT schulzj intravenoustherapyatbasilararteryocclusionmrifindingsat15and3t
AT kastrupa intravenoustherapyatbasilararteryocclusionmrifindingsat15and3t
AT nagelet intravenoustherapyatbasilararteryocclusionmrifindingsat15and3t
AT krapfh intravenoustherapyatbasilararteryocclusionmrifindingsat15and3t