Skip to main content

Evaluation of the Cerebral Vessels

  • Chapter
  • 389 Accesses

Abstract

In the last decade there has been a dramatic shift to noninvasive imaging of the cerebral vessels. This is justified since cerebral digital subtraction angiography (DSA) still has a risk of neurological complications despite advances in techniques and safer contrast agents. Carotid Doppler ultrasonography (US) is an excellent screening tool to study the carotid bifurcation in patients with transient is-chemic attacks and stroke. Transcranial Doppler US is useful to detect early vasospasm in patients with subarachnoid hemorrhage. Multislice computed tomography (CT) and magnetic resonance imaging (MRI) have become effective methods to image the cerebral arteries and veins. DSA is now used selectively in treatment planning after noninvasive imaging has been used for diagnosis.

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

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
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

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Suggested Reading

  • Alvarez-Linera J, Benito-Leon J, Escribano J et al (2003) Prospective evaluation of carotid artery stenosis: elliptic centric contrast-enhanced MR angiography and spiral CT angiography compared with digital subtraction angiography. AJNR Am J Neuroradiol 24:1012–1019

    PubMed  Google Scholar 

  • Anderson GB, Findlay JM, Steinke DE, Ashforth R (1997) Experience with computed tomographic angiography for the detection of intracranial aneurysms in the setting of acute sub-arachnoid hemorrhage: clinical study. Neurosurgery 41:522–528

    PubMed  CAS  Google Scholar 

  • Farb R, Scott JN, Willinsky R, Montanera W, Wright G, terBrugge K (2003) Intracranial venous system: gadolinium-enhanced three-dimensional MR venography with auto-triggered elliptic centric-ordered sequence — initial experience. Radiology 226:203–209

    Article  PubMed  Google Scholar 

  • Fieschi C, Rasura M, Anzini A, Beccia M (1998) Central nervous system vasculitis. J Neurol Sci 153:159–171

    Article  PubMed  CAS  Google Scholar 

  • Gladstone D, Silver F, Willinsky RA, Tyndel F, Wennberg R (2001) Deep cerebral venous thrombosis: an illustrative case with reversible diencephalic dysfunction. Can J Neurol Sci 28:159–162

    PubMed  CAS  Google Scholar 

  • Hirai T, Korogi Y, Suginohara K et al (2003) Clinical usefulness of unsubtracted 3D digital angiography compared with rotational digital angiography in the pretreatment evaluation of intracranial aneurysms. AJNR Am J Neuroradiol 24:1067–1074

    PubMed  Google Scholar 

  • Lazinski D, Willinsky RA, ter Brugge K, Montanera W (2000) Dissecting aneurysms of the posterior cerebral artery: angioarchitecture and review of the literature. Neuroradiology 42:128–133

    Article  PubMed  CAS  Google Scholar 

  • Lee SK, terBrugge K, Willinsky R, Montanera W (2003) MR imaging of dural arteriovenous fistula draining into cerebellar cortical veins. AJNR Am J Neuroradiol 24:1602–1606

    PubMed  Google Scholar 

  • Lev MH, Romero JM, Goodman DNF et al (2003) Total occlusion versus hairline residual lumen of the internal carotid arteries: accuracy of single section helical CT angiography. AJNR Am J Neuroradiol 24:1123–1129

    PubMed  Google Scholar 

  • Rivera P, Willinsky R, Porter P (2003) Intracranial cavernous malformations. Neuroimaging Clin N Am 13:27–40

    Article  PubMed  Google Scholar 

  • Schievink WI (2001) Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 344:898–906

    Article  PubMed  CAS  Google Scholar 

  • Van Dijk M, terBrugge K, Willinsky RA, Wallace C (2002) The clinical course of cranial rural AV fistulas with long-term persistent cortical venous reflux. Stroke 33(5):1233–1236

    Article  Google Scholar 

  • Van Dijk JMC, Willinsky R (2003) Venous congestive encephalopathy related to cranial dural arteriovenous fistulas. Neuroimaging Clin N Am 13:55–72

    Article  Google Scholar 

  • Wetzel SG, Kirsch E, Stock KW et al (1999) Cerebral veins: comparative study of CT venography with intrarterial digital subtraction angiography. AJNR Am J Neuroradiol 20:249–255

    PubMed  CAS  Google Scholar 

  • Willinsky RA, Taylor SM, ter Brugge K, Montanera W, Farb R (2003) Neurologie complications of cerebral angiography: a prospective analysis of 2899 procedures. Radiology 227(2):522–528

    Article  PubMed  Google Scholar 

  • Willinsky RA, Harper W, Wallace MC, Kucharczyk W, Montanera W, Mikulis D, terBrugge K (1996) Follow-up MR of intracranial cavernomas, the relationship between hemorrhage events and morphology. Interv Neuroradiol 2:127–135

    PubMed  CAS  Google Scholar 

  • Willinsky RA, terBrugge K, Montanera W, Mikulis D, Wallace MC (1994) Venous congestion: an MR finding in dural arteriovenous malformations with cortical venous drainage. AJNR Am J Neuroradiol 15:1501–1507

    PubMed  CAS  Google Scholar 

  • Willinsky RA, Goyal M, terBrugge K, Montanera W (1999) Tortuous, engorged pial veins in intracranial dural arteriovenous fistulas: correlation with presentation, location, and MR findings in 122 patients. AJNR Am J Neuroradiol 20:1031–1036

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Italia

About this chapter

Cite this chapter

Willinsky, R. (2004). Evaluation of the Cerebral Vessels. In: von Schulthess, G.K., Zollikofer, C.L. (eds) Diseases of the Brain, Head and Neck, Spine. Springer, Milano. https://doi.org/10.1007/978-88-470-2131-0_3

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2131-0_3

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0251-7

  • Online ISBN: 978-88-470-2131-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics