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Research ArticleBRAIN

Microembolic Signals and Diffusion-weighted MR Imaging Abnormalities in Acute Ischemic Stroke

Kazumi Kimura, Kazuo Minematsu, Masatoshi Koga, Ryuki Arakawa, Masahiro Yasaka, Hiroshi Yamagami, Kazuyuki Nagatsuka, Hiroaki Naritomi and Takenori Yamaguchi
American Journal of Neuroradiology June 2001, 22 (6) 1037-1042;
Kazumi Kimura
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Kazuo Minematsu
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Masatoshi Koga
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Ryuki Arakawa
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Masahiro Yasaka
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Hiroshi Yamagami
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Kazuyuki Nagatsuka
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Hiroaki Naritomi
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Takenori Yamaguchi
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    fig 1.

    Patient 2.

    A and B, Axial diffusion-weighted images 7 days after stroke onset show five spotty hyperintense lesions in the right hemisphere (arrows). Four MESs were recorded for 30 minutes from the right MCA. This patient had 90% stenosis at the origin of the right ICA.

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    fig 2.

    Patient 6.

    A–D, Axial diffusion-weighted images 5 days after stroke onset show several spotty hyperintense abnormalities (arrows) in both hemispheres. Thirty-eight and thirty-three MESs were recorded with TCD for 30 minutes from the right and left MCAs, respectively. This patient had neither arterial nor cardiac disease but had complicated lesions in the aorta.

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    fig 3.

    Small lesions on DWI are more frequent in the MES group than in the control group (P < .004). However, the frequency of medium and large lesions does not differ between the two groups

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    TABLE 1:

    Demographic features of patients in two groups

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    TABLE 2:

    Clinical characteristic of patients with MESs

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    TABLE 3:

    Demographic features of patients in MES group

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American Journal of Neuroradiology: 22 (6)
American Journal of Neuroradiology
Vol. 22, Issue 6
1 Jun 2001
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Cite this article
Kazumi Kimura, Kazuo Minematsu, Masatoshi Koga, Ryuki Arakawa, Masahiro Yasaka, Hiroshi Yamagami, Kazuyuki Nagatsuka, Hiroaki Naritomi, Takenori Yamaguchi
Microembolic Signals and Diffusion-weighted MR Imaging Abnormalities in Acute Ischemic Stroke
American Journal of Neuroradiology Jun 2001, 22 (6) 1037-1042;

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Microembolic Signals and Diffusion-weighted MR Imaging Abnormalities in Acute Ischemic Stroke
Kazumi Kimura, Kazuo Minematsu, Masatoshi Koga, Ryuki Arakawa, Masahiro Yasaka, Hiroshi Yamagami, Kazuyuki Nagatsuka, Hiroaki Naritomi, Takenori Yamaguchi
American Journal of Neuroradiology Jun 2001, 22 (6) 1037-1042;
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Cited By...

  • Symptomatic Carotid Occlusion Is Frequently Associated With Microembolization
  • Brain MR Findings in Patients with Systemic Lupus Erythematosus with and without Antiphospholipid Antibody Syndrome
  • Determinants of the distribution and severity of hypoperfusion in patients with ischemic stroke
  • Microembolic signals at 48 hours after stroke onset contribute to new ischaemia within a week
  • Pathogenesis of deep white matter medullary infarcts: a diffusion weighted magnetic resonance imaging study
  • Specific DWI lesion patterns predict prognosis after acute ischaemic stroke within the MCA territory
  • The Pathophysiology of Watershed Infarction in Internal Carotid Artery Disease: Review of Cerebral Perfusion Studies
  • Isolated middle cerebral artery disease: clinical and neuroradiological features depending on the pathogenesis
  • Subcortical White Matter Infarcts: Comparison of Superficial Perforating Artery and Internal Border-Zone Infarcts Using Diffusion-Weighted Magnetic Resonance Imaging
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More in this TOC Section

  • Optimal MRI Sequence for Identifying Occlusion Location in Acute Stroke: Which Value of Time-Resolved Contrast-Enhanced MRA?
  • SWI or T2*: Which MRI Sequence to Use in the Detection of Cerebral Microbleeds? The Karolinska Imaging Dementia Study
  • Progression of Microstructural Damage in Spinocerebellar Ataxia Type 2: A Longitudinal DTI Study
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