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Case Report
INTERVENTIONAL

Dynamic CT Perfusion Imaging with Acetazolamide Challenge for the Preprocedural Evaluation of a Patient with Symptomatic Middle Cerebral Artery Occlusive Disease

James D. Eastwooda, Michael J. Alexanderb, Jeffrey R. Petrellaa and James M. Provenzalea

a Department of Radiology, Division of Neuroradiology, Duke University Medical Center, Durham, North Carolina
b Department of Surgery, Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina

Address reprint requests to James D. Eastwood, MD, Department of Radiology, Division of Neuroradiology, Box 3808 Duke University Medical Center, Durham, NC 27710-3808; e-mail: eastw004{at}mc.duke.edu.

Summary: We describe the use of a CT-based method of cerebral perfusion imaging, dynamic CT perfusion imaging, for the pre- and postprocedural assessment of cerebral blood flow in a patient with symptomatic middle cerebral artery occlusive disease who underwent balloon angioplasty with stent placement in the affected artery. Dynamic CT perfusion imaging represents a widely available and minimally invasive alternative to other available methods of cerebral perfusion imaging.




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