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Type:
Educational Exhibit
Keywords:
Ischaemia / Infarction, Diagnostic procedure, MR-Diffusion/Perfusion, MR, Neuroradiology brain, Anatomy
Authors:
J. L. Nix, I. Craven, S. Currie, J. Macmullen-Price, D. J. Warren, H. Nejadhamzeeigilani, T. Buende Tchokouako; Leeds/UK
DOI:
10.1594/ecr2017/C-1356
Conclusion
Brainstem infarcts are associated with classic clinical presentations,
which should raise suspicion prior to imaging.
MR with diffusion weighted imaging is essential to identify small restriction deficits.
Increased awareness of these syndromes among radiologists performing acute CT and MR imaging will enable optimal imaging,
reduce inappropriate dismissal of subtle T2 signal change within the brainstem,
and focus attention on the diagnostic importance of diffusion weighted imaging in the brainstem.
The classification of named brainstem infarction syndromes is based on symptomatology rather than imaging findings.
There is strong correlation between clincal presentations and the core infarcted anatomical areas shown in this poster,
although involvement of other individual structures can vary between cases.
As MR imaging becomes increasingly more central to stroke management,
understanding of the correlation between anatomical involvement and symtomatology will no doubt evolve further.