The emerging role of multidetector row CT angiography in the diagnosis of cervical arterial dissection

Preliminary study

Lucas Elijovich, Khuram Kazmi, Jean Yves Gauvrit, Meng Law

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Introduction: Cervical artery dissection is an important cause of ischemic stroke, particularly in young patients. The diagnosis can be made with invasive catheter angiography or non-invasive imaging, either with MRI in conjunction with MR angiography (MRA) or CT angiography (CTA). Both modalities have been shown to have a high specificity and sensitivity. New developments such as multi-slice CTA (MSCTA) are emerging as an alternative methods for imaging the cervical and intracranial arteries. However, the contribution of modern MSCTA to carotid artery dissection has not been reported. Methods: We present a retrospective series of seven patients in whom both MSCTA and cervical axial T1 MRI and MRA were performed in the acute to subacute setting of internal carotid artery dissection. Results: Carotid artery dissection was identified in all seven patients by MSCTA. The combination of MRI and MRA identified dissection in five of the seven patients. Additionally, a pseudoaneurysm was identified by MSCTA that was missed by MRI and MRA. Conclusion: Our findings confirm that MSCTA is a complementary technique in comparison to cervical axial T1 MRI and cervical MRA for diagnosing carotid artery dissection, and at times may provide additional information that can impact patient management.

Original languageEnglish (US)
Pages (from-to)606-612
Number of pages7
JournalNeuroradiology
Volume48
Issue number9
DOIs
StatePublished - Sep 1 2006
Externally publishedYes

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Dissection
Magnetic Resonance Angiography
Carotid Arteries
Angiography
Arteries
Internal Carotid Artery Dissection
False Aneurysm
Catheters
Stroke
Computed Tomography Angiography
Sensitivity and Specificity

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Radiological and Ultrasound Technology

Cite this

The emerging role of multidetector row CT angiography in the diagnosis of cervical arterial dissection : Preliminary study. / Elijovich, Lucas; Kazmi, Khuram; Gauvrit, Jean Yves; Law, Meng.

In: Neuroradiology, Vol. 48, No. 9, 01.09.2006, p. 606-612.

Research output: Contribution to journalArticle

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