Patient characteristics with negative diffusion-weighted imaging findings in acute lateral medullary infarction View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-07-12

AUTHORS

Junichiro Ohira, Nobuyuki Ohara, Takuya Hinoda, Takeshi Morimoto, Nobuo Kohara

ABSTRACT

BackgroundDiffusion-weighted imaging (DWI) on magnetic resonance imaging (MRI) shows limited sensitivity in the acute-phase brainstem infarctions, including lateral medullary infarction (LMI), and the detailed characteristics of acute LMI patients with initially negative DWI-MRI findings have not been reported previously. Therefore, we aimed to investigate the differences in the backgrounds or symptoms of acute LMI patients with initially negative findings in standard axial DWI-MRI and those with positive findings.MethodsIn this retrospective cohort study, we collected the data for 35 consecutive acute LMI patients who were hospitalized in our hospital from January 2011 to December 2018. Initial standard axial DWI-MRI was assessed, and the patients were divided into positive and negative groups. The characteristics of the two groups were compared, and the usefulness of additional thin-slice coronal DWI-MRI was also investigated.ResultsNine (26%) acute LMI patients were initially negative on standard axial DWI-MRI. The patients were independently associated with smoking history (78% vs. 23%, p = 0.021) and headache (78% vs. 31%, p = 0.046). Thin-slice coronal DWI-MRI showed positive findings in 50% of the patients with negative findings in standard axial DWI-MRI. All four patients with negative findings in both standard axial and thin-slice coronal DWI-MRI had smoking history and headache.ConclusionSmoking history and headache were associated with initial negative results in standard axial DWI-MRI in acute LMI. Additional thin-slice coronal DWI-MRI was sometimes useful in detecting acute LMI. Follow-up MRI is important for patients showing negative findings in initial DWI-MRI. More... »

PAGES

689-696

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10072-020-04578-0

DOI

http://dx.doi.org/10.1007/s10072-020-04578-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1129308425

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32656715


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