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3D pseudocontinuous arterial spin-labeling perfusion imaging detected crossed cerebellar diaschisis in acute, subacute and chronic intracerebral hemorrhage

Published:December 15, 2017DOI:https://doi.org/10.1016/j.clinimag.2017.12.007

      Highlights

      • CCD presenting as abnormal perfusion in the cerebellum contralateral to cerebral hemorrhage can be revealed by 3D pCASL perfusion imaging.
      • The CCD severity in the subacute stage in patients with supratentorial hemorrhage indicates a worse neurologic severity and clinical outcome.
      • 3D pCASL may be an ideal tool to study the phenomenon and clinical consequences of supratentorial hemorrhage with CCD.

      Abstract

      Objective

      We aimed to evaluate the value of 3D pseudocontinuous arterial spin-labeling (pCASL) perfusion imaging detected crossed cerebellar diaschisis (CCD) at different stages of intracerebral hemorrhage (ICH).

      Materials and methods

      We assessed bilateral cerebral blood flow (CBF) values of different brain regions and the relationships between the CCD and clinical status of 16 ICH patients.

      Results

      The ICH patients had significantly lower CBF values in the contralateral cerebellum in acute, subacute and chronic stages. The subacute CCD had a significant correlation with clinical status.

      Conclusions

      3D pCASL may be an ideal tool to study the phenomenon and clinical consequences of ICH with CCD.

      Keywords

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