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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleBrain

Diffusion- and Perfusion-Weighted MR Imaging of Dural Sinus Thrombosis

James Manzione, George C. Newman, Avishai Shapiro and Ramon Santo-Ocampo
American Journal of Neuroradiology January 2000, 21 (1) 68-73;
James Manzione
aFrom the Departments of Radiology (J.M., A.S., R.O.) and Neurology (G.C.N.), State University of New York at Stony Brook.
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George C. Newman
aFrom the Departments of Radiology (J.M., A.S., R.O.) and Neurology (G.C.N.), State University of New York at Stony Brook.
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Avishai Shapiro
aFrom the Departments of Radiology (J.M., A.S., R.O.) and Neurology (G.C.N.), State University of New York at Stony Brook.
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Ramon Santo-Ocampo
aFrom the Departments of Radiology (J.M., A.S., R.O.) and Neurology (G.C.N.), State University of New York at Stony Brook.
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    fig 1.

    A, Sagittal T1-weighted image showing thrombus in the superior sagittal sinus.

    B, Axial T2-weighted fast spin-echo image showing small cortical infarct in the posterior frontal lobe.

    C, Diffusion-weighted anisotropic image, slice (z) direction showing increased signal in the right hemisphere. The denser frontal lesion corresponds to the signal abnormality seen on conventional imaging.

    D, Mean transit time map from perfusion-weighted imaging showing a large area of prolonged mean transit time in the right hemisphere.

    E, Contrast venography of the sagittal sinus showing venous thrombosis with absent flow.

    F, Post-treatment venography showing restoration of flow in the sagittal and transverse sinuses. (cont'd →)

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    fig 1.

    (cont'd) G, Post-treatment diffusion-weighted image of the same slice as in C showing an area of persistent, although smaller, signal abnormality in the right frontal region and complete resolution of the parietal region defect, presumably representing reversible parenchymal changes of intracellular water accumulation.

    H, Post-treatment perfusion-weighted imaging showing marked improvement in the mean transit delay.

    I, Post-treatment axial T2-weighted fast spin-echo image unchanged from images prior to treatment. The small cortical infarct persists and no new lesion has developed in the parietal lobe.

    J, 1-year follow-up axial T2-weighted fast spin-echo image showing extremely small residual cortical lesion.

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    Apparent diffusion coefficient before and after thrombolysis

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American Journal of Neuroradiology
Vol. 21, Issue 1
1 Jan 2000
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Diffusion- and Perfusion-Weighted MR Imaging of Dural Sinus Thrombosis
James Manzione, George C. Newman, Avishai Shapiro, Ramon Santo-Ocampo
American Journal of Neuroradiology Jan 2000, 21 (1) 68-73;
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Cite this article
James Manzione, George C. Newman, Avishai Shapiro, Ramon Santo-Ocampo
Diffusion- and Perfusion-Weighted MR Imaging of Dural Sinus Thrombosis
American Journal of Neuroradiology Jan 2000, 21 (1) 68-73;

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