BACKGROUND AND PURPOSE: Transient ischemic attack (TIA) patients may deteriorate rapidly. MRI is being increasingly used to assess such patients. One possible mechanism of neurological worsening is the presence of perfusion abnormalities. We sought to identify what proportion of TIA patients had evidence of perfusion abnormalities on MRI. METHODS: TIA patients were prospectively enrolled and had a MRI completed as soon as possible. The images were assessed for the presence of perfusion abnormalities. RESULTS: Sixty-nine TIA patients were enrolled, and 62 had perfusion imaging. In 56 patients (81%), the symptoms had resolved before imaging. In 21 patients (33.9%), there was evidence of a perfusion abnormality defined by relative mean transit time delay. In 12 patients (19.4%), the perfusion abnormality was present despite having complete resolution of neurological symptoms. We found no relationship between the presence of a perfusion abnormality and the clinical outcome. CONCLUSIONS: A proportion of TIA patients have perfusion abnormalities evident on MRI.
BACKGROUND AND PURPOSE: Transient ischemic attack (TIA) patients may deteriorate rapidly. MRI is being increasingly used to assess such patients. One possible mechanism of neurological worsening is the presence of perfusion abnormalities. We sought to identify what proportion of TIApatients had evidence of perfusion abnormalities on MRI. METHODS:TIApatients were prospectively enrolled and had a MRI completed as soon as possible. The images were assessed for the presence of perfusion abnormalities. RESULTS: Sixty-nine TIApatients were enrolled, and 62 had perfusion imaging. In 56 patients (81%), the symptoms had resolved before imaging. In 21 patients (33.9%), there was evidence of a perfusion abnormality defined by relative mean transit time delay. In 12 patients (19.4%), the perfusion abnormality was present despite having complete resolution of neurological symptoms. We found no relationship between the presence of a perfusion abnormality and the clinical outcome. CONCLUSIONS: A proportion of TIApatients have perfusion abnormalities evident on MRI.
Authors: Jonathan T Kleinman; Greg Zaharchuk; Michael Mlynash; Alyshia A Ogdie; Matus Straka; Maarten G Lansberg; Neil E Schwartz; Stephanie Kemp; Roland Bammer; Gregory W Albers; Jean-Marc Olivot Journal: Stroke Date: 2012-04-03 Impact factor: 7.914
Authors: M Mlynash; J-M Olivot; D C Tong; M G Lansberg; I Eyngorn; S Kemp; M E Moseley; G W Albers Journal: Neurology Date: 2008-12-17 Impact factor: 9.910
Authors: X J Qiao; N Salamon; D J J Wang; R He; M Linetsky; B M Ellingson; W B Pope Journal: AJNR Am J Neuroradiol Date: 2013-05-30 Impact factor: 3.825