Multislice spiral computed tomography for pediatric intracranial vascular pathophysiologies

Gatscher, Silvia; Brew, Stefan; Banks, Tina; Simcock, Clare; Sullivan, Yvonne; Crockett, Joshua

doi:10.3171/ped-07/09/203

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…13 In addition, multislice spiral CT angiography has been found to be very useful for detailed mapping of both arteries and veins, with the use of a single scan and a single dose of contrast medium. 16,36 It requires fewer than 5 minutes for processing and is faster and with better imaging quality than MR angiography or single-slice CT angiography. When multislice spiral CT angiography is not available, CT angiography is preferred over MR angiography because of greater image quality for cerebral vein identification.…”

mentioning

confidence: 99%

Vein of Galen malformation

Hoang¹,

Choudhri²,

Edwards³

et al. 2009

FOC

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mentioning

confidence: 99%

Vein of Galen malformation

Hoang¹,

Choudhri²,

Edwards³

et al. 2009

FOC

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“…Average radiation doses reported for pediatric CT angiogram of the head is 0.742 mSv. This compares with an estimated mean dose of 2.5 mSv for catheter angiography [110].…”

Section: Diagnostic Imaging Of Iaa In Childrenmentioning

confidence: 73%

Intracranial arterial aneurysms in children and young adults

Abruzzo

DiNapoli

Rahme

et al. 2015

J Pediatr Neuroradiol

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Intracranial arterial aneurysms are an important cause of hemorrhagic stroke during the first two decades of life. In the pediatric population, intracranial arterial aneurysms have a diverse etiological spectrum. The clinical course, response to treatment and long-term prognosis correlate strongly with the mechanism of lesion pathogenesis. A variety of phenotypes have been characterized, having variably overlapping features and differentiated according to the mechanism of pathogenesis: (1) idiopathic, (2) traumatic, (3) infectious, (4) flow related, (5) oncotic, (6) non-infectious inflammatory, (7) arteriopathic and (8) familial. The purpose of this report is to review intracranial aneurysmal disease in the pediatric population. We discuss contemporary approaches to diagnostic evaluation and clinical management, emphasizing interventional strategies and recent advances.

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“…The disadvantages of CTA in children include exposure to radiation, the need for intravenous contrast, and the difficulty of accurately timing the contrast bolus in small Review Management of arterial ischemic stroke & cerebral venous sinus thrombosis in children children. CTA has an evolving role in the evaluation of children with intracranial hemorrhage [28] but has not been evaluated in comparison with either MRA or CA in childhood AIS. In general, most children with AIS can be investigated with MRA combined with the diagnostic MRI.…”

Section: Cerebrovascular Imaging In Childhood Aismentioning

confidence: 98%

Controversies in childhood arterial ischemic stroke and cerebral venous sinus thrombosis

Eleftheriou¹,

Ganesan

2009

Expert Review of Cardiovascular Therapy

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Arterial ischemic stroke (AIS) and cerebral venous sinus thrombosis (CVST) are increasingly recognized as causes of significant childhood disability. Lack of knowledge of the underlying pathogenic mechanisms results in diagnostic challenges and complicates therapeutic decisions, as reflected in divergent recommendations in three sets of pediatric stroke guidelines. In addition, there is a lack of robust evidence from clinical trials to underpin current recommendations regarding evaluation and treatment, in particular relating to antiplatelet therapy, anticoagulation and thrombolysis. With the advent of modern cerebrovascular imaging techniques, the optimal modality for investigating AIS and CVST is subject to debate. The potential role of inflammation in the genesis of arterial disease and the contribution of patent foramen ovale to the etiology of childhood AIS are contentious. Finally, the indications (and optimal technique) for surgical revascularization in children are not established. In this article, we review some of the current concepts and controversies in the investigation and management of AIS and CVST in children.

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Multislice spiral computed tomography for pediatric intracranial vascular pathophysiologies

Abstract: Multislice spiral CT offers advantages over MR imaging in the assessment of intracranial vascular pathophysiologies and frequently allows complete avoidance or deferral of catheter angiography.

Cited by 5 publications

References 15 publications

Vein of Galen malformation

Vein of Galen malformation

Intracranial arterial aneurysms in children and young adults

Controversies in childhood arterial ischemic stroke and cerebral venous sinus thrombosis

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