Intracranial Vessel Wall MRI in Clinical Practice: Technical Considerations, Current and Emerging Applications, and Clinical Pearls and Pitfalls

Pinho, Marco C.; Hall, Jeremy; Cross, JL; Shang, Terrissa Jing; Madhuranthakam, Ananth J.; Moore, William

doi:10.3174/ng.9170237

Cited by 5 publications

(2 citation statements)

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“…9 Besides, HR VWI can detect vasculitis even in cases with a normal time of flight angiography (TOF) MRI, allowing treatment before an ischemic parenchymal lesion occurs. [10][11][12]…”

Section: Discussionmentioning

confidence: 99%

Meningovascular Syphilis Presenting as Acute Ischemic Stroke in an HIV + Young Adult: A Case Report and a Brief Literature Review

Kuma,

Tadesse,

Girma

2024

IMCRJ

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Background: Meningovascular syphilis, a distinct classification of neurosyphilis, has gained attention for its association with cerebral ischemia, particularly among individuals living with HIV. This unique manifestation of syphilis affects the meningeal and vascular structures of the central nervous system, leading to cerebrovascular complications. In this case report, we present the case of a young man diagnosed with neurosyphilis and HIV after presenting with an ischemic stroke. We discuss the challenges associated with diagnosing neurosyphilis, given its frequent atypical presentations that can mimic other diseases. Furthermore, we explore the management approach for these coexisting conditions. Case Presentation: A right-handed male patient presented with a sudden paresis of the right upper and lower extremities, along with facial deviation to the left, and demonstrated low verbal output, limitation in constructing sentences, and conveying thoughts or ideas effectively. Upon admission, the patient's neurological examination revealed a FOUR coma scale of 16. He exhibited motor aphasia, right facial paralysis sparing the forehead, and right upper and lower extremity spastic hemiparesis with a strength of 3 out of 5 on the Medical Research Council scale. The Plantar reflex was positive on the affected side. Brain magnetic resonance imaging revealed left middle cerebral artery infarction (cortical and lenticulostriate territory acute infarction). Conclusion: This case highlights the need for treating physician to have a high index of suspicion towards meningovascular syphilis as a potential cause of stroke in young individuals. This is crucial, especially when there is also a concurrent HIV infection, as it requires specific treatment.

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“…9 Besides, HR VWI can detect vasculitis even in cases with a normal time of flight angiography (TOF) MRI, allowing treatment before an ischemic parenchymal lesion occurs. [10][11][12]…”

Section: Discussionmentioning

confidence: 99%

Meningovascular Syphilis Presenting as Acute Ischemic Stroke in an HIV + Young Adult: A Case Report and a Brief Literature Review

Kuma,

Tadesse,

Girma

2024

IMCRJ

View full text Add to dashboard Cite

show abstract

“…Three-dimensional T1-weighted dark blood MRI sequencing determines suppression of the blood signal inside the vascular lumen, allowing visualization of the vascular wall. In the case of vasculitis, there is concentric thickening and avid contrast enhancement of the vascular wall 1,2 .…”

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confidence: 99%