KMID : 1034720170090010021
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Journal of Neurosonology and Neuroimaging 2017 Volume.9 No. 1 p.21 ~ p.23
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Bilateral Middle Cerebral Artery FLAIR Hyperintense Vessel Signs in a Patient with Progressive Arterial Occlusion
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Yoon So-Hoon
Kim Ji-Hwa Cheon Kyeong-Yeol Lee Kyung-Yul
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Abstract
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Fluid-attenuated inversion recovery (FLAIR) hyperintense vessel (HV) sign is usually seen in patients who has steno-occlusive lesion in intracranial artery, as it reflects the decreased arterial blood flow velocity. A 79-year old male patient, who had multiple cerebral infarctions, showed FLAIR HV signs on both middle cerebral artery territory without any steno- occlusive lesion in initial magnetic resonance angiography (MRA). However, follow-up MRA showed decreased bilateral middle cerebral artery branches and distal stenosis. In our case, bilateral FLAIR HV sign without steno-occlusive lesion might be used as a poor prognostic factor indicating progressive arterial occlusion.
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KEYWORD
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Stroke, Magnetic resonance angiography, Prognosis
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