Summary
The authors report the three principal characteristics of hemispheric ischaemic attacks on CT scan and their development over time: hypodensity, mass effect and contrast enhancement. Their pathophysiological mechanism and prognostic importance are discussed. The topography of the territories of the large arteries vascularising the brain and their main branches is described on the basis of twelve sections cut parallel to the cantho-meatal line. Finally, selcted special aspects are described (misleading aspects, haemorrhagic infarcts, border zone infarcts).
Similar content being viewed by others
References
Aulich A, Wende S, Fenske A, Lange S, Steinhoff H (1976) Diagnostic and follow up studies in cerebral infarcts. In: Lanksch W, Kazner E (eds) Cranial computerized tomography. Springer, Berlin Heidelberg New York, pp 273–283
Aulich A, Wende S, Kazner E, Lanksch W, Steinhoff H, Grumme J Lange S, Meese W (1978) Computerized axial tomography for diagnosis and follow up studies of cerebral infarcts and the development of brain oedema. The effect of dexamethasone and furosemide on perifocal oedema in patients with brain tumors. In: Bories J (ed) The diagnostic limitations of computerized axial tomography. Springer, Berlin Heidelberg New York, pp 105–109
Constant P, Renou AM, Caille JM, Vernhiet J, Dop A (1977) Aspect tomodensitométriques des accidents vasculaires cérébraux. J Neuroradiol 4:291–310
Constant P, Renou AM, Caille JM, Vernhiet J (1977) CAT studies of central ischaemia In: Du Boulay G, Moseley IF (eds) Computerized axial tomography in clinical practice. Springer, Berlin Heidelberg New York, pp 227–236
Bories J, Chiras J, Cellerier P (1983) Apport de la scanographie au diagnostic et à la surveillance des accidents vasculaires cérébraux. Presse Med 48:3073–3077
Yock DH, Marshall WH (1975) Recent ischaemic brain infarcts at computed tomography: apparences pre and post contrast injections. Radiology 117:599–608
Davis KR, Traveras JM, New PFJ, Schnur JA, Roberson GH (1975) Cerebral infarction diagnosis by computerized tomography. Am J Roentgenol 124:643–660
Pollock JA (1977) Stroke. In: Norman D, Korobkin M, Newton Th (eds) Computed tomography, 1977. Mosby, St. Louis, Missouri, pp 255–262
Valk J (1980) Computed tomography and cerebral infarction. Raven Press, New York
Wordarz R, Nadjmi M, Ratzka M (1978) Topographische Korrelation angiographischer und computertomographischer Befunde bei zerebralen Gefäßprozessen. Neuroradiology 16: 164–167
Goto K, Tagana K, Uemura K, Ishii K, Takahashi S (1979) Posterior cerebral artery occlusion. Computed tomography and angiographic correlation. Radiology 132:357–368
Berman SA, Hayman LA, Hinck VC (1980) Correlation of CT cerebral vascular territories with function. I. Anterior cerebral artery. Am J Neuroradiol 1:259–263
Hayman LA, Berman SA, Hinck VC (1981) Correlation of CT cerebral vascular territories with function. II. Posterior cerebral artery. Am J Neuroradiol 2:219–225
Berman SA, Hayman LA, Hinck VC (1984) Correlation of CT cerebral vascular territories with function. III. Middle cerebral artery. Am J Neuroradiol 5:161–166
Damasio H (1983) A computed tomographic guide to the identification of cerebral vascular territories. Arch Neurol 43: 138–142
Matsui T, Hirano A (1978) An atlas of the human brain for computerized tomography. Gustav Fischer Stuttgart Igakenskain Tokyo New York
Lazorthes G, Gouaze A, Salamon G (1976) Vascularisation et circulation de l'encéphale, vol. 1. Masson, Paris
Salamon G, Huang YP (1976) Radiologic anatomy of the brain. Springer, Berlin Heidelberg New York
Manelfe C, Clanet M, Gigaud M, Bonafe A, Guiraud B, Rascol A (1981) Internal capsule. Normal anatomy and ischemic changes demonstrated by computed tomography. Am J Neuroradiol 2:149–155
Wilson MC (1972) The anatomic foundation of Neuroradiology of the brain, 2nd edn. Little Brown, Boston
Becker H, Desch H, Hacker H, Pencz A (1979) CT fogging effect with ischemic cerebral infarcts. Neuroradiology 18: 185–192
Skriver EB, Olsen TS (1980) Transient disappearance of cerebral infarcts in CT scan. The so called fogging effect. Neuroradiology 22:61–65
Aulich A, Frenske A (1977) Das Computertomogramm des Schlaganfalles. Akt Neurol 4:129–140
Steinhoff H, Lanksch W, Kazner E (1976) Die computertomographische Darstellung enzephalomalazischer Herde und ihre Bedeutung für Praxis und Klinik. Internist 17:32–37
Aulich A, Wende S, Kazner E, Lanksch W, Steinhoff H, Grumme Th, Lang S, Meese W (1978) Computerized axial tomography for diagnosis and follow up studies of cerebral infarcts and the development of brain oedema. In: Bories J (ed) The diagnostic limitations of computerized axial tomography. Springer, Berlin Heidelberg New York, pp 105–109
Drayer BP, Dujouny M, Boehnke M, Wolfson SK Jr, Barrionuevo PJ, Cook EE, Rosenbaum AE (1977) The capacity for computed tomography diagnosis of cerebral infarction. Radiology 125:393–402
Drayer BP, Rosenbaum AE (1979) Brain oedema defined by computed tomography. Comput Assist Tomogr 3:317–320
Terent A, Ronquist G, Bergstrom K, Hallgren R, Aberg H (1981) Ischemic oedema in stroke. A parallel study with computed tomography and cerebrospinal fluid markers of disturbed brain cell metabolism. Stroke 12:33–40
Yolk D, Norman D, Newton Th (1978) Pitfalls in the diagnosis of ischeamic cerebral infarcts by computed tomography. In: Bories J (ed). The diagnostic limitations of computerized tomography. Springer, Berlin Heidelberg New York, pp 90–104
Skriver EB, Olsen TS (1982) Contrast enhancement of cerebral infarcts. Incidence and clinical value on different states of cerebral infarction. Neuroradiology 23:259–263
Pullicino P, Kendall BE (1980) Contrast enhancement in ischemic lesions. I. Relationship to prognosis. Neuroradiology 9:235–239
Norton GA, Kishore PRS, Lin J (1978) CT contrast enhancement in cerebral infarction. Am J Roentgenology 131:881–885
Caille JM, Guibert F, Bidabe AM, Billerey J, Piton J (1980) Enhancement of cerebral infarcts with CT. Comput Tomogr 4: 73–77
Lee KF, Chambers RA, Diamond C, Park Ch, Thompson NL, Schnapf D, Pripstein S (1978) Evaluation of cerebral infarction by computed tomography with emphasis to micro infarction. Neuroradiology 16:156–158
Kendall BE, Pullicino P (1980) Intravascular contrast injection in ischemic lesions. II — Effect on prognosis. Neuroradiology 19:241–243
Wing SD, Norman D, Pollock JA, Newton Th (1976) Contrast enhancement of cerebral infarcts in computed tomography. Radiology 121:89–92
Weisberg LA (1980) CT enhancement patterns in cerebral infarction. Arch Neurol 37:21–24
Kinkel WR, Jacobs L, Kinkel PR (1980) Grey matter enhancement: a computerized tomographic sign in cerebral hypoxia. Neurology 30:810–819
Inoue Y, Takemoto K, Miyamoto T, Yoshikawa N, Taniguchi S, Saiwai S, Nishimura Y, Komatsu T (1980) Sequential computed tomography scans in acute cerebral infarction. Radiology 135:655–662
Bergtrom M, Ericson K (1979) Compartment analysis of contrast enhancement in brain infarction. J Comput Assist Tomogr 3:234–240
Gado MH, Phelps ME, Coleman RE (1975) An extravascular component in contrast enhancement in cranial computed tomography. Radiology 117:589–597
Hornig CR, Bune O, Dorndorf W, Kaps M (1983) Changes in CSF blood barrier parameters in ischaemic central infarction. J Neurol 229:11–6
Lassen NA (1966) The luxurary perfusion syndrome and its possible relation to acute metabolic acidosis localised within the brain. Lancet 2:1113–1115
Hayman LA, Sakai F, Meyer JS, Armstrong D, Hinck VC (1980) Iodine enhanced patterns after cerebral arterial embolisation in baboons. Am J Neuroradiol 1:233–238
Drayer BP, Heinz ER, Dujovny M, Wolfson SK Jr, Gur D (1979) Patterns of brain perfusion. Dynamic computed tomography using intravenous contrast enhancement. J Comput Assist Tomogr 3:633–640
Traupe H, Heiss WD, Hoeffken W, Zulch KJ (1979) Hyperperfusion and enhancement in dynamic computed tomography of ischemic stroke patients. J Comput Assist Tomogr 3:627–632
Traupe H, Heiss WD, Hoeffken W, Zulch KJ (1980) Perfusion patterns in CT transit studies. Neuroradiology 19:181–191
Baron JC, Delattre JY, Bories J, Cabanis EA, Bousser MG, Chiras J, Comar D (1983) A comparative study of CT scan and positron emission tomography in recent cerebral infarcts. Am J Neuroradiology 4:536–540
Harrisson MJG (1977) The use of CT in cerebral infarction. In: Du Boulay GH, Moseley IF (eds) Computerized axial tomography in clinical practice. Springer, Berlin Heidelberg New York, pp 221–226
Masdeu JC (1983) Enhancing mass on CT: neoplasm or recent infarction? Neurology 33:836–840
Zulch KJ (1981) Cerebrovascular pathology and pathogenis as a basis of neuroradiological diagnosis. In: Diethelm L, Wende S (eds) Roentgendiagnostik des zentralen Nervensystems, Teil 1 A. (Handbuch der Medizinischen Radiologie, vol XIV) Springer, Berlin Heidelberg New York
Escourolle R, Poirier J (1971) Manuel élémentaire de neuropathologie. Masson et Cie 1 vol
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bories, J., Derhy, S. & Chiras, J. CT in hemispheric ischaemic attacks. Neuroradiology 27, 468–483 (1985). https://doi.org/10.1007/BF00340843
Issue Date:
DOI: https://doi.org/10.1007/BF00340843