TABLE 1:

Patient characteristics, angiographic findings, and results of acetazolamide-challenged single photon emission CT

Patient CharacteristicsAngiographic FindingsACZ-Challenged SPECT
OcclusiveMaximum rACCT (s)rACCT (s)rACCT Ratio
Patient No.SexAge (yr)DiagnosisArteryGrade (%)Occlusive Side [Flow Pattern]Normal SideQualitative EstimationBaseline AIACZ AIrRI
1M61TIAR MCA805.9 [lept(A)]2.92.03Poor1.030.900.87
2F65TIAR MCA995.4 [lept(P)]2.62.08Poor1.010.890.88
3M55ATIR ICAOcclusion3.4 [lept(P)]2.51.36Normal1.000.960.96
4M68ATIR ICAOcclusion2.6 [Willis]2.61.00Normal1.051.081.03
5M74ATIR ICA997.9 [physiol]4.21.88Poor0.860.650.76
6M75TIAR MCAOcclusion4.9 [lept(A)]4.71.04Normal1.031.010.98
7M72TIAR ICAOcclusion3.5 [lept(P)]3.01.17Normal0.950.951.00
8M63ATIR ICAOcclusion8.8 [lept(P)]3.92.26Poor0.780.550.71
9M70TIAR ICA703.7 [physiol]3.11.19Normal0.960.981.02
10M73LacunaL MCA703.9 [physiol]3.41.15Normal0.930.951.02
11M71ATIR ICA995.7 [lept(P)]2.42.38Poor0.690.520.75
12F70ATIL ICA706.8 [physiol]3.42.00Poor0.970.870.90
13M71ATIL MCAOcclusion7.3 [lept(P)]3.22.28Poor1.000.890.89
14M62ATIR MCA702.5 [physiol]2.41.04Normal0.951.001.05
15M65LacunaL ICA755.1 [physiol]3.51.46Poor0.880.830.94
16M64TIAR ICA803.2 [Willis]2.71.19Normal1.021.000.98
17M47TIAL MCAOcclusion4.7 [lept(A)]2.12.24Poor0.910.790.87
18M60TIAR ICA996.3 [physiol]3.71.70Poor0.860.770.9
19M53TIAR ICAOcclusion5.8 [lept(A)]3.01.93Poor0.890.800.90
20M83TIAL ICA805.9 [lept(A)]3.11.90Poor0.970.800.82
21F71TIAR ICA1005.7 [lept(P)]3.51.63Poor1.030.760.74
22M52TIAR MCA1007.0 [lept(P)]2.72.59Poor0.960.670.70
23M79TIAR ICA705.3 [lept(P)]3.71.43Normal1.040.970.93
24M69TIAR ICA906.8 [lept(P)]3.51.94Poor0.990.880.89
25F67TIAR ICA1004.7 [lept(P)]2.61.81Poor1.020.870.85
26M77ATIR ICA1006.7 [EC-IC]3.22.09Poor0.940.750.80
27M69TIAL ICA1006.7 [Willis]4.31.56Poor0.930.800.86
28M68LacunaR ICA703.3 [physiol]2.71.22Normal1.041.030.99
  • Note.—ACZ indicates acetazolamide; SPECT, single photon emission CT; rACCT, regional arteriocapillary circulation time; AI, asymmetry index; rRI, regional reactivity index; M, male; F, female; TIA, transient ischemic attack; ATI, atherothrombotic infarction; Lacuna, lacuna infarction; R, right; L, left; MCA, middle cerebral artery; ICA, internal carotid artery; lept(A), leptomeningeal collateral via anterior cerebral artery; lept(P), leptomeningeal collateral via posterior cerebral artery; Willis, circle of Willis collateral; physiol, physiological flow pattern; EC-IC, external to internal carotid collateral.