A High CSF Signal on FLAIR: It Is Not Always Blood

Neuroradiol J. 2010 Sep;23(4):389-92. doi: 10.1177/197140091002300401. Epub 2010 Sep 24.

Abstract

We describe a patient with progressive neurologic deficit due to middle cerebral branch occlusion. Temporary partial balloon occlusion of the abdominal aorta led to an increased signal in the subarachnoid space on fluid-attenuated inversion recovery images with no evidence of subarachnoid hemorrhage. After spontaneous recanalization, the increased signal of the subarachnoid space returned to normal. We assume that signal changes in the subarachnoid space were due to a temporary increase in blood volume in the superficial brain vessels.