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Research ArticleBrain

High-Resolution MRI Vessel Wall Imaging: Spatial and Temporal Patterns of Reversible Cerebral Vasoconstriction Syndrome and Central Nervous System Vasculitis

E.C. Obusez, F. Hui, R.A. Hajj-ali, R. Cerejo, L.H. Calabrese, T. Hammad and S.E. Jones
American Journal of Neuroradiology August 2014, 35 (8) 1527-1532; DOI: https://doi.org/10.3174/ajnr.A3909
E.C. Obusez
aFrom the Department of Diagnostic Radiology (E.C.O., S.E.J.), Imaging Institute
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F. Hui
bCerebrovascular Center (F.H.)
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R.A. Hajj-ali
cDepartment of Neurology (R.A.H., R.C.), Neurological Institute
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R. Cerejo
cDepartment of Neurology (R.A.H., R.C.), Neurological Institute
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L.H. Calabrese
dDepartment of Rheumatology (L.H.C., T.H.), Orthopaedic and Rheumatology Institute, Cleveland Clinic, Cleveland, Ohio.
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T. Hammad
dDepartment of Rheumatology (L.H.C., T.H.), Orthopaedic and Rheumatology Institute, Cleveland Clinic, Cleveland, Ohio.
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S.E. Jones
aFrom the Department of Diagnostic Radiology (E.C.O., S.E.J.), Imaging Institute
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    Fig 1.

    A 41-year-old woman with CNS vasculitis. 3T-HRMRI pre- and postgadolinium (A and B) T1-weighted arterial wall coronal images of terminal supraclinoid ICA and proximal M1 with strong smooth, concentric wall enhancement and thickening. C, MRA shows stenosis of the lumen and narrowing of M1 and the terminal supraclinoid ICA. Follow-up at 12 months. D and E, Pre- and post-gadolinium T1WI with near resolution of enhancement on coronal view. F, MRA with interval resolution of luminal narrowing and stenosis.

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    Fig 2.

    A 61-year-old woman with RCVS. 3T-HRMRI postgadolinium T1-weighted arterial wall with fat suppression and saturation band. A and B, Axial images in the same planes show bilateral A1, M1, and P2 with diffuse uniform wall thickening and wall narrowing with mild enhancement. C, MRA shows corresponding bilateral A1, M1, posterior communicating artery, and P2 narrowing. Follow-up vessel wall imaging at 3 months. D and E, Postgadolinium axial imaging with interval near resolution of uniform wall thickening and wall narrowing in the A1 and M1 segments and resolution of uniform wall thickening and wall narrowing in the P2 segment. F, Follow-up MRA with resolution of luminal narrowing with patent bilateral A1, M1, posterior communicating artery, and P2.

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American Journal of Neuroradiology: 35 (8)
American Journal of Neuroradiology
Vol. 35, Issue 8
1 Aug 2014
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Cite this article
E.C. Obusez, F. Hui, R.A. Hajj-ali, R. Cerejo, L.H. Calabrese, T. Hammad, S.E. Jones
High-Resolution MRI Vessel Wall Imaging: Spatial and Temporal Patterns of Reversible Cerebral Vasoconstriction Syndrome and Central Nervous System Vasculitis
American Journal of Neuroradiology Aug 2014, 35 (8) 1527-1532; DOI: 10.3174/ajnr.A3909

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High-Resolution MRI Vessel Wall Imaging: Spatial and Temporal Patterns of Reversible Cerebral Vasoconstriction Syndrome and Central Nervous System Vasculitis
E.C. Obusez, F. Hui, R.A. Hajj-ali, R. Cerejo, L.H. Calabrese, T. Hammad, S.E. Jones
American Journal of Neuroradiology Aug 2014, 35 (8) 1527-1532; DOI: 10.3174/ajnr.A3909
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