Skip to main content

Role of Cerebral Blood Flow Imaging in the Evaluation of Subarachnoid Hemorrhage and Intracranial Arteriovenous Malformations

  • Conference paper
Stimulated Cerebral Blood Flow

Abstract

In 1984, Ackerman stated that “despite a considerable output of time, effort, and money, techniques for measuring CBF produced relatively little information that proved to be of clinical value in ischemic stroke disease”. While this pessimism concerning the value of cerebral blood flow (CBF) measurement may be challenged in individual circumstances and certainly in management failures, subsequent studies with positron emission tomography (PET) scanning as well as large cooperative studies on the issue of cerebral revascularization have confirmed this somewhat nihilistic viewpoint for the larger group of patients presenting with complaints related to occlusive disease. Nevertheless, certain subgroups of patients definitely do become candidates for clinical CBF studies which can contribute to the decision-making process. In addition, the judicious acquisition of these data can lead to significant insight into pathopyhsiology both in the clinic and in the laboratory.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Ackerman RH (1984) Of cerebral blood flow, stroke, and SPECT. Stroke 15:1–4

    Article  PubMed  CAS  Google Scholar 

  • Adamson T, Batjer H (1988) Aneurysm recurrence associated with induced hypertension and hypervolemia. Surg Neurol 29:57–61

    Article  PubMed  CAS  Google Scholar 

  • Barnett GH, Little JR, Ebrahim ZY, Jones SC, Friel HT (1987) Cerebral circulation during arteriovenous malformation resection. Neurosurgery 20:836–842

    Article  Google Scholar 

  • Batjer HH, Samson DS (1989) Causes of morbidity and mortality from surgery of aneurysms of the distal basilar artery. Neurosurgery 25:904–916

    Article  PubMed  CAS  Google Scholar 

  • Batjer HH, Devous MD, Meyer YS, Purdy PD, Samson DS (1988a) Cerebrovascular hemodynamics in arteriovenous malformation complicated by normal perfusion pressure breakthrough. Neurosurgery 22:503–509

    Article  PubMed  CAS  Google Scholar 

  • Batjer HH, Devous MD Sr, Seibert GB, Purdy PD, Ajmani AK, Delarosa M, Bonte FJ (1988b) Intracranial arteriovenous malformation: relationship between clinical and radiographic factors and ipsilateral steal severity. Neurosurgery 23:322–328

    Article  PubMed  CAS  Google Scholar 

  • Batjer HH, Devous MD, Seibert GB, Purdy PD, Ajmani AK, Delarosa M, Bonte FJ (1989a) Intracranial arteriovenous malformation: relationship between clinical factors and cerebral blood flow. Neurol Med Chir (Tokyo) 29:395–400

    Article  CAS  Google Scholar 

  • Batjer HH, Devous MD, Seibert GB, Purdy PD, Ajmani AK, Delarosa M, Bonte FJ (1989b) Intracranial arteriovenous malformation: contralateral steal phenomena. Neurol Med Chir (Tokyo) 29:401–406

    Article  CAS  Google Scholar 

  • Batjer HH, Devous MD, Seibert GB, Purdy PD, Bonte FJ (1989c) Intracranial arteriovenous malformation: relationship between clinical factors and surgical complications. Neurosurgery 24:75–79

    Article  PubMed  CAS  Google Scholar 

  • Batjer HH, Purdy PD, Giller CA, Samson DS (1989d) Evidence of blood flow redistribution during treatment for intracranial arteriovenous malformation. Neurosurgery 25:599–605

    Article  PubMed  CAS  Google Scholar 

  • Constantino A, Vintners HV (1986) A pathogenic correlate of the “steal” phenomena in a patient with cerebral arteriovenous malformation. Stroke 17:103–106

    Article  Google Scholar 

  • De Vries EJ, Sekhar LN, Horton JA, Eibling DE, Janecka IP, Schramm VL, Yonas H (1990) A new method to predict safe resection of the internal carotid artery. Laryngoscope 100:85–88

    PubMed  Google Scholar 

  • Erba SM, Horton J A, Latchaw RE, Yonas H, Sekhar L, Schramm V (1988) Balloon test occlusion of the internal carotid artery with stable Xenon/CT cerebral blood flow imaging. Am J Neuroradiol 9:533–538

    PubMed  CAS  Google Scholar 

  • Feindel W, Perot P (1965) Red cerebral veins: a report on arteriovenous shunts in tumors and cerebral scars. J Neurosurg 22:315–325

    Article  PubMed  CAS  Google Scholar 

  • Kassell NF, Torner JC (1983) Aneurysmal rebleeding: a preliminary report from the Cooperative Aneurysm Study. Neurosurgery 13:479–481

    Article  PubMed  CAS  Google Scholar 

  • Kassell NF, Torner JC (1984) The International Cooperative Study on Timing of Aneurysm Surgery: an update. Stroke 15:566–570

    Article  PubMed  CAS  Google Scholar 

  • Norlen G (1949) Arteriovenous aneurysms of the brain: report of 10 cases of total removal of the lesion. J Neurosurg 6:475–494

    Google Scholar 

  • Nornes H, Grip A (1980) Hemodynamic aspects of cerebral arteriovenous malformations. J Neurosurg 53:456–464

    Article  PubMed  CAS  Google Scholar 

  • Ondra SL, Troupp H, George ED, Schwab K (1990) The natural history of symptomatic arteriovenous malformations of the brain: a 24-years followup assessment. J Neurosurg 73:387–391

    Article  PubMed  CAS  Google Scholar 

  • Purdy PD, Samson D, Batjer HH, Risser RC (1990) Preoperative embolization of cerebral arteriovenous malformation with polyvinyl alcohol particles: experience in 51 adults. Am J Neuroradiol 11:501–510

    PubMed  CAS  Google Scholar 

  • Spetzler R, Martin N (1986) A proposed grading system for arteriovenous malformations. J Neurosurg 65:476–483

    Article  PubMed  CAS  Google Scholar 

  • Spetzler RF, Selman WR (1984) Pathophysiology of cerebral ischemia accompanying arteriovenous malformation. In: Wilson CB, Stein BM (eds) Intracranial arteriovenous malformations. Williams and Wilkins, Baltimore, pp 24–31

    Google Scholar 

  • Spetzler RF, Wilson CB, Weinstein P, Mehdorn M, Townsend J, Teiles D (1978) Normal perfusion pressure breakthrough theory. Clin Neurosurg 25:651–672

    PubMed  CAS  Google Scholar 

  • Steed DL, Webster MW, de Vries EJ, Jungreis CA, Horton JA, Sekhar L, Yonas H (1990) Clinical observations of the effect of carotid artery occlusion on cerebral blood flow mapped by xenon computed tomography and its correlation with carotid artery back pressure. J Vase Surg 11:38–43

    CAS  Google Scholar 

  • Yonas H, Sekhar L, Johnson DW, Gur D (1989) Determination of irreversible ischemia by xenon-enhanced computed tomographic monitoring of cerebral blood flow in patients with symptomatic vasospasm. Neurosurgery 24:368–372

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1992 Springer-Verlag, Berlin Heidelberg

About this paper

Cite this paper

Batjer, H.H. (1992). Role of Cerebral Blood Flow Imaging in the Evaluation of Subarachnoid Hemorrhage and Intracranial Arteriovenous Malformations. In: Schmiedek, P., Einhäupl, K., Kirsch, CM. (eds) Stimulated Cerebral Blood Flow. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77102-6_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-77102-6_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77104-0

  • Online ISBN: 978-3-642-77102-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics