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MR Imaging of Basilar Artery Occlusion
J Comput Assist Tomogr 14:32-35, Knepper,L.,et al, 1990
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Article Abstract
We studied six patients with basilar artery occlusion using magnetic resonance imaging.Two patients also had arteriography.All had signs consistent with pontine infarction;three had a"locked in"syndrome.Magnetic resonance imaging(five done within 24 h of onset of progression of neurologic symptoms)revealed a linear structure of increased signal intensity in the pontine cistern on T1-weighted parasagittal images and absence of flow void phenomena.Hyperintense signals at various brain stem levels corresponding to the course of the basilar artery were noted on T2- weighted images.Multiple parenchymal abnormalities were noted in the brain stem(six),cerebellum(four),occipital lobes(two),and thalamus(two).Magnetic resonance performed early in the course of basilar artery occlusion is a high-yield,safe procedure and might eliminate the need for arteriography.
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basilar artery
basilar artery occlusion
brainstem,infarction of
CAT scan,false negative
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pons,infarction of
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