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Index

Page numbers in italics refer to illustrations
375
A
ACAS (Asymptomatic Carotid Athero-
sclerosis Study) 130–131
acetazolamide infusion test 58–59, 58
case histories 139–141, 251, 255,
320, 324
ACST (Asymptomatic Carotid Surgery
Trial) 130–131 akinetic mutism 348 aliasing phenomenon 10–11, 10, 11 amaurosis fugax 190 anemia 133, 136 aneurysm
anterior communicating artery 112 atrial septal aneurysm (ASA) 275,
276
Charité University Hospital algo-
rithm 120–121, 122
dissecting 191, 307, 308–310
assessment 311 treatment 311
see also pseudoaneurysm
angiography
see computed tomographic angio-
graphy (CTA)
see digital subtraction angiography
(DSA)
see magnetic resonance angio-
graphy (MRA) angiography complications 294–295 angiomatosis case history 312–318 angiomatosis Divry–Van Bogaert
(ADB) 317, 317 Angioplasty, see stenting anterior cerebral artery (ACA) 7,15,
32–33
anatomy 32, 32 ICA occlusion effects 105–106, 105,
108, 219
case history 133–137 identification 32–33, 33 MCA occlusion effects 269, 271, 274 occlusion 98–99, 341 stenosis 94, 98
case history 171, variants 32, 32
anterior cerebral vein (ACV) 41 anterior choroid artery (AChA) 15 anterior communicating artery
(ACoA) 15, 16, 17, 33
aneurysm 112
172 , 173
collateral pathways 101–102, 109
in ICA occlusive processes
105–106, 105–107,206, 220221, 223, 291–293,
295–296, 320 anterior coronal plane 26, 27 anterior inferior cerebellar artery
(AICA) 16, 36, 36
anticoagulation
cerebral venous thrombosis
331–332, 335
dissection and 191, 249
antiphospholipid antibody syndrome
136 antiretroviral treatment 235–236 aortic arch 14
dissection 81 aphasia 133 apnoea test 58 area measurement of stenosis 82 arterial anatomy
extracranial 13–15, 18–23
anterior circulation 13–14
flow velocities 51 posterior circulation 15
intracranial 15–17, 2 3 –40
anterior circulation 15 circle of Willis 16–17 flow velocities 52 posterior circulation 15, 16, 33
see also specific arteries
arterial hypertension 216 arterial ischemia
classification 65–72
border zone infarction (BZI)
68–69, 68, 69 lacunar infarction 67–68, 67, 68 temporal pattern 65 territorial infarction 65–66,
67
TOAST classification 71–72
etiology 71 pathophysiology 64–65 see also infarction
arteriovenous malformation (AVM)
316–317 assessment 148, 317–318 grading 147 hemorrhage risk 146 pathogenesis 147–148 temporal lobe AVM
66,
case history 143–148 clinical aspects 146
treatment 147 arteriovenous shunts 316–317, 316 arteritis 229
see also giant-cell arteritis;
Takayasu arteritis
artery-to-artery embolism 138, 150,
158–159 , 165, 168–169, 206,
280–281 asymmetry index (AI) 209 atherosclerosis 200–202, 319, 326,
339, 340, 349
HIV patients 236 ICA 14,200,341 intracranial 152–153, 158 , 216
management 153
risk factors 152 MCA 152 PCA 159 plaques 78–80, 78–80, 226, 227
calcified 79–80, 79
carotid bifurcation 226, 227, 233
high risk plaque identification 79 progression 153 VA occlusion 229 VA ste n o s i s 20 1 see also occlusion; stenosis
ATLANTIS trial 179, 180 atrial septal aneurysm (ASA) 275,
276
autoregulation 55–56
impairment 110 testing 56, 56
B
B-flow imaging 8 B-mode imaging see brightness-mode
(B-mode) imaging
basal vein of Rosenthal (BVR) 41, 44,
44
arteriovenous malformation and
143, 14 4 –146
cerebral venous thrombosis and
332–334
basilar artery (BA) 15, 35
dissection 262, 265, 267 distal 37, 37 occlusion 100, 100,165,16 6 ,
168–169
376 Index
assessment 267–268 case history 261–268 collateral pathways 262, 265–266
management 169 proximal 35–36, 36 stenosis 99, 99,307,308 stenting, VA pseudoaneurysm and
306–311 blood flow see flow dynamics bone windows 24–25, 24
transtemporal 25, 25, 27
border zone infarction (BZI) 68–69,
185, 188,191,195 , 196, 201, 251,253,
259, 299, 338, 340, 345,348 brachial artery 21, 21 brain death 162–163
assessment 163–164 brain edema 162 breath-holding index 57, 58 bridging technique 169, 180 brightness-mode (B-mode) imaging
7, 7
Broca aphasia 194
C
calcifications
carotid siphon 79
plaque calcifications 79–80
VA 165,166, 168 cardioembolism 71
MCAocclusion 177,271,275 carotid artery see common carotid ar-
tery (CCA); external carotid artery (ECA); internal carotid artery (ICA)
carotid bifurcation 13, 14, 14,18,132
plaques 226, 227, 233 carotid endarterectomy (CEA)
130–131, 136, 222
restenosis 142 carotid sinus 13, 14, 19 carotid siphon 15, 28
assessment 213–214
calcifications 79
stenosis 344
case history 210–214
variants 29 carotid-subclavian bypass 280, 281,
284, 285
carotid-T stenosis case history
171 –17 5 CASANOVA Study 130 CAVATAS (Carotid and Vertebral Ar-
tery Transluminal Angioplasty
Study) 131 cavernous sinus (CS) 41–42, 48 cella media plane 25, 26
cerebellar arteries see anterior inferior
cerebellar artery (AICA); posterior inferior cerebellar artery (PICA); superior cerebellar artery (SCA)
cerebral arteries see anterior cerebral
artery (ACA); middle cerebral ar­tery (MCA); posterior cerebral ar­tery (PCA)
cerebral autosomal-dominant arte-
riopathy with subcortical infarcts and leukoencephalopathy (CADA­SIL) 71
cerebral blood flow (CBF) 54, 60, 61
autoregulation 55–56
testing 56, 56 global CGF assessment 312, 318 ischemia and 64 velocity 60
cerebral blood volume (CBV) 63, 62
global CBV assessment 312, 318
cerebral circulation time (CCT) 61, 62
global CCT assessment 312, 318
cerebral circulatoryarrest case history
160–164 assessment 163–164 clinical aspects 162–163
cerebral ischemia 64
see also arterial ischemia; venous
ischemia
cerebral veins see anterior cerebral
veins (ACVs);internal cerebral vein
(ICV); middle cerebral veins
cerebral venous thrombosis (CVT)
assessment 336–337
absent flow signals 337 increased flow velocities 337 reversed venous flow direction
337
venous high intensity signals 337 case history 331–337 causes 335 Charité University Hospital algo-
rithm 123–124, 124 right versus left side 337 treatment 335
cerebrovascular reactivity (CVR) tests
57–59, 327
acetazolamide infusion test 58–59,
58,139–141, 251, 255, 320, 324 breath-holding index 57, 58 CO2 inhalation test 58, 58 collateral pathways 109 hyperventilation (apnoea test) 58
CHARISMA study 213 Charité University Hospital algorithm
119 –125
aneurysm 120–121, 122
cerebral venous thrombosis
123–124, 124
peri-therapeutic imaging 124–125,
125
stroke 119, 120–122 vasculitis 121–123, 123
circle of Willis (CW) 15,16–17, 16,
101–10 2 dynamic spin labeling 60 moyamoya disease effects 174 va r i a t i o n s 17, 17, 285–286 see also collateral pathways
circulatory arrest see cerebral circula-
tory arrest case history
CLOTBUST study 180 CO2 inhalation test 58, 58 collateral function tests 59–60, 260,
327
collateral pathways 101–110,
343347,349–350 BA occlusion 262, 265–266 carotid-T stenosis 171 CCA occlusion 139, 141,142 clinical relevance 109–110 extracranial 108–109 fetal-type PCA 102–103, 210, 211,
220, 232, 246, 274, 299, 301, 303, 304–305
ICA dissection 238, 240–241, 254,
257, 260, 288, 291–293,295–296
ICA occlusion 105–108, 184,
187–188 , 196, 200,202–203, 206, 218–221, 223, 320, 325–326
insufcient collateralization 185,
253, 259–260, 285–286, 320, 340
intracranial 101–108
primary collaterals 101–102 secondary collaterals 103–104
MCA occlusion 109, 179,231,
234–235
MCA stenosis 151–152,171,297,
300–301, 303
VA occlusion 108, 108,168 VA ste n o s i s 200 see also collateral function tests
color-mode imaging 7, 7
contrast application 25, 25
common carotid artery (CCA) 11,
13–14, 14 ,18 anatomy 18 CCA/ICA index 83 compression test 102, 102 identification 18, 18 occlusion 90
case histories 138–142, 347 clinical aspects 142
,237,269–275, 298, 303