Unexpected preserved brain perfusion imaging despite severe and diffuse atherosclerosis of supra-aortic trunks

Item Type:	Article
Title:	Unexpected preserved brain perfusion imaging despite severe and diffuse atherosclerosis of supra-aortic trunks
Creators Name:	Gargiulo, G. and Tortora, F. and Cirillo, M. and Perrino, C. and Schiattarella, G.G. and Trimarco, B. and Esposito, G.
Abstract:	We report an unusual case of a patient whose whole cerebral circulation was supported by poor vicariate collaterals and a severely atherosclerotic right vertebral artery, with no brain perfusion abnormalities. Our belief is that despite the brain imaging and the absence of symptoms, because of his critical vascular disease and the paucity of data from large randomised clinical trials on vertebra-basilar revascularisation, the case required an extremely cautious approach regarding any kind of revascularisation. An accurate imaging analysis together with clinical features allowed us to decide on a strategy based on optimal medical therapy and careful clinical monitoring.
Keywords:	Brain Perfusion, Atherosclerosis, Supra-Aortic Trunks, Imaging
Source:	Cardiovascular Journal of Africa
ISSN:	1995-1892
Publisher:	Clinics Cardive Publishing
Volume:	24
Number:	3
Page Range:	e12-e14
Date:	23 April 2013
Official Publication:	https://doi.org/10.5830/CVJA-2013-009
PubMed:	View item in PubMed

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