Detection and characterization of the evolution of cerebral abscesses with diffusion-weighted magnetic resonance imaging--two case reports.

A 57-year-old man and a 45-year-old woman presented with cerebral abscesses. Diffusion-weighted magnetic resonance (MR) imaging and conventional MR imaging clearly showed the different stages of the course of the brain abscesses. As the abscess matured, the signal intensity of the center gradually increased to the typical high value with a low apparent diffusion coefficient (ADC) on diffusion-weighted MR imaging, and enhancement of the capsule on T1-weighted MR imaging with gadolinium.

[Percutaneous transluminal angioplasty in fibromuscular dysplasia of the internal carotid artery: case report].

We report a case of symptomatic cervical carotid artery stenosis associated with fibromuscular dysplasia (FMD) successfully treated by percutaneous transluminal angioplasty (PTA). A 49-year-old female presented with repeated ischemic attacks of right hemiparesis and aphasia. Digital subtraction angiography revealed a string of beads appearance of the left internal carotid artery typical of the medial type of FMD, at the level of the C2 vertebra.

[Vertebral arterial dissection with subarachnoid hemorrhage after ischemic onset].

A case is reported of the vertebral arterial dissection presenting initially with cerebellar infarction, and which subsequently occurred with subarachnoid hemorrhage 14 days later. A 75-year old male was admitted because of vertigo and ataxia. MR T2-weighted imaging showed a hyperintensity areas on the left cerebellar hemisphere and MR angiography showed multiple stenotic lesions in the left vertebral artery.

[Clinical study of cerebral blood flow in bilateral chronic subdural hematoma measured by 99mTc-HMPAO SPECT].

Cerebral blood flow(CBF) in 34 patients with bilateral chronic subdural hematoma was measured by 99mTc-HMPAO SPECT before operation. The regional CBF was measured in 26 regions of the 10 cortical regions, putamen, thalamus and cerebellar hemisphere on both sides. According to the thickness of subdural hematoma, the thicker hematoma side was measured and examined as the thick hematoma side, and the other side as the thin hematoma side.

[A case of Marchiafava-Bignami disease demonstrated by MR diffusion-weighted image].

A Case of Marchiafava-Bignami disease demonstrated by MR diffusion-weighted image (DWI) was reported. A 55-year-old male with chronic alcoholism demonstrated dysarthria, disorientation and apraxia of left-hand. Sagittal view on MRI showed a swelling of the corpus callosum.

[Diffusion-weighted MRI in patients with occlusive cerebrovascular disease: the initial DWI findings within 6 hours after onset].

We performed this study to evaluate the accuracy of diffusion-weighted imaging (DWI) in detecting focal ischemia, and to predict the role of DWI in the management of patients with ischemia in the superacute phase. 99 patients with clinically diagnosed acute occlusive cerebrovascular disease were studied with DWI within 6 hours after onset of symptoms. In 88 of 99 patients, early ischemic lesions were identified on initial DWI as hyperintensity areas.

[Clinical study of cerebral blood flow in unilateral chronic subdural hematoma measured by 99mTc-HMPAO SPECT].

Cerebral blood flow (CBF) measured by 99mTc-HMPAO SPECT before operation was studied in 60 patients with unilateral chronic subdural hematoma. The regional CBF was measured in 26 regions of the fronto-occipital 10 cortices, putamen, thalamus and cerebellar hemisphere on both sides. Sixty cases with unilateral chronic subdural hematoma were classified into four groups on the basis of clinical symptoms: 17 cases with headache (headache group), 34 cases with hemiparesis (hemiparesis group) and 9 cases with consciousness disturbance or dementia (consciousness disturbance group), and into three groups on the basis of the degree of midline brain shift on MRI: 7 cases of mild shift group, 24 cases of moderate shift group and 29 cases of severe shift group.

Indication of thrombolysis for middle cerebral artery occlusion using MR diffusion - weighted image.

We have evaluated the usefulness of diffusionweighted MRI (DWI) for determining an indication of emergent thrombolytic revascularization therapy in patients with acute occlusive cerebrovascular disease. Out of twenty-nine patients with acute occlusion of the middle cerebral artery within six hours after the onset, nine patients performed thrombolytic therapy. In results, seven patients of them obtained revascularization and good outcome.

[Size and location of ruptured cerebral aneurysms diagnosed by three dimensional computed tomographic angiography].

The purpose of this study is to confirm the correct size and the location of ruptured cerebral aneurysms diagnosed and measured using three dimensional computed tomographic angiography. The size and the location were investigated in 136 ruptured cerebral aneurysms encountered in our hospital during 3 years and 10 months. As regards the location of 136 ruptured cerebral aneurysms, 40 were anterior communicating artery aneurysms, 35 were middle cerebral artery aneurysms, 33 were internal carotid artery aneurysms, 12 were distal anterior cerebral artery aneurysms and 16 were posterior circulatory aneurysms.

[Glioblastoma fed by meningeal branches of the external carotid artery: a case report].

A rare case of glioblastoma fed by meningeal branches of the external carotid artery was reported. A 63-year-old female was transferred to our hospital suffering from gait disturbance and dysarthria. CT and MRI revealed brain tumor and paratumoral hemorrhage with a large cyst that was heterogeneously enhanced and existed in the right fronto-temporal region.

[A case of diploic epidermoid invading intradurally, which was diagnosed by MR diffusion-weighted image].

A case of diploic epidermoid in the right parietal bone was presented. A 66-year-old male was admitted to our hospital because of aphasia. Plain skull radiogram showed an osteolytic lesion in the right parietal bone.

[Improvement of MRA and 3D-CTA does away with the need for cerebral angiography in many cerebral aneurysm operations].

The purpose of this investigation was to study the indication of cerebral angiography in recent operations for cerebral aneurysms. Cerebral angiography has been used for diagnoses and operations for cerebral aneurysms, but, as the diagnostic procedures such as magnetic resonance angiography (MRA) and three dimensional computed tomographic angiography (3D-CTA) have made remarkable progress, cerebral angiography is not always an indispensable diagnostic tool for cerebral aneurysm operations. One hundred nineteen patients (including 40 patients with ruptured aneurysms) out of 165 patients (including 61 patients with ruptured aneurysms) were diagnosed and operated on following MRA and 3D-CTA.

[A case of transethmoidal meningocele showing increased activity of 99mTcHM-PAO at seizure attack].

A case of transethmoidal meningocele presenting seizure attack is reported. A 59-year-old man was admitted to our hospital because of seizure attack. On admission, he was neurologically free without right olfactory dysfunction.

[Diagnosis of unruptured cerebral aneurysms using magnetic resonance angiography and three dimensional computed tomographic angiography].

The purpose of this study is to confirm the use of magnetic resonance (MR) angiography and three-dimensional computed tomographic (3D CT) angiography, in the screening of unruptured cerebral aneurysms. Sixty-six unruptured cerebral aneurysms in forty-eight patients were examined by MR angiography, 3D CT angiography and digital subtraction angiography (DSA). All cases underwent surgery.

[FLAIR images of subarachnoid hemorrhage].

We studied MR fluid attenuated inversion recovery (FLAIR) pulse sequences in 37 cases with subarachnoid hemorrhage caused by aneurysmal rupture. FLAIR sequence suppressed the CSF signal and produced very heavy T2 weighted images. This has been of particular benefit in identifying lesions at the margins of the brain, around the basal cisterns, in the brain stem and at the gray-white matter junction.

[Saccular aneurysm associated with fenestration of the distal segment of basilar artery].

A 32-year-old man who presented with subarachnoid hemorrhage was found to have a saccular aneurysm arising from the proximal end of the fenestration formed at the distal third of basilar artery. The aneurysm dome was directed anteriorly and measured 3mm in diameter. It was successfully clipped via subtemporal transtentorial approach and the patient returned to his previous job.

[A case of metastatic choriocarcinoma associated with cerebral thrombosis and aneurysmal formation].

A rare case of metastatic choriocarcinoma with cerebral thrombosis and subsequent neoplastic aneurysm formation and rupture is reported. Three months after normal pregnancy and normal delivery, a 16-year-old woman was admitted with the chief complaints of speech disturbance and paresthesia of her right upper extremity on June 4, 1992. Both CT and MRI demonstrated cerebral infarction in the left insula.