Parenchyma, pipes, perfusion and penumbra imaging: The multimodal CT in wake-up stroke basilar thrombosis

摘要

Although stroke imaging has changed remarkably over the past few years and is no longer limited to unen-hanced CT, but routinely also includes vascular imaging and tends to integrate perfusion imaging [1, 2], rarely have full findings of multimodal CT imaging in wake-up stroke basilar thrombosis been reported. Herein we report the CT angiography (CTA) findings (fig. la, b; online suppl. video 1; for all online suppl. material, see www.karger.com/doi/10.1159/000355469), showing a wake-up stroke basilar thrombosis in a 44-year-old woman who was found unarousable. Although the time of onset of the stroke was unknown, CT perfusion (CTP) documented a large area of hypoperfusion in the pons and both cerebellar hemispheres with perfusion mismatch data consistent with wide, favorable ischemic penumbra (fig. lc, d).