Hyperperfusion on perfusion computed tomography following revascularization for acute stroke.

Published

Journal Article

PURPOSE: To describe the findings of hyperperfusion on perfusion computed tomography (CT) in four patients following revascularization for acute stroke. MATERIAL AND METHODS: In 2002-2003, among a series of 6 patients presenting with an acute stroke and treated with intra-arterial thrombolysis, we observed the presence of hyperperfusion in 3 patients on the follow-up CT perfusion. We included an additional patient who was treated with intravenous thrombolysis and who had hyperperfusion on the follow-up CT perfusion. We retrospectively analyzed their CT perfusion maps. Cerebral blood volume (CBV) and cerebral blood flow (CBF) maps were compared between the affected territory and the normal contralateral hemisphere. RESULTS: In the four patients, the mean CBV and CBF were 3.6 +/- 2.0 ml/100 g and 39 +/- 25 ml/100 g/min in the affected territory compared to the normal side (mean CBV = 2.7 +/- 2.1 ml/100 g, mean CBF = 27 +/- 23 ml/100 g/min). There was no intracranial hemorrhage in the hyperperfused territories. At follow-up CT, some hyperperfused brain areas progressed to infarction, while others retained normal white to gray matter differentiation. CONCLUSION: CT perfusion can demonstrate hyperperfusion, which can be seen in an ischemic brain territory following recanalization.

Full Text

Duke Authors

Cited Authors

  • Nguyen, TB; Lum, C; Eastwood, JD; Stys, PK; Hogan, M; Goyal, M

Published Date

  • October 2005

Published In

Volume / Issue

  • 46 / 6

Start / End Page

  • 610 - 615

PubMed ID

  • 16334842

Pubmed Central ID

  • 16334842

International Standard Serial Number (ISSN)

  • 0284-1851

Digital Object Identifier (DOI)

  • 10.1080/02841850510021607

Language

  • eng

Conference Location

  • England