Stroke in Pregnancy and Review of Current Literature: Arterial Spin-Labeling MRI Can Identify the Presence and Intensity of Collateral Circle

J Stroke Cerebrovasc Dis. 2018 Dec;27(12):3575-3577. doi: 10.1016/j.jstrokecerebrovasdis.2018.08.027. Epub 2018 Sep 15.

Abstract

Diagnosis and treatment of acute ischemic stroke is challenging during pregnancy. We present a diagnostic strategy in a pregnant woman with suspect of acute stroke. We perform magnetic resonance with arterial spin labeling sequence, an X-ray and contrast medium safe perfusion technique. Arterial spin labeling can detects collateral vessels in patient with acute ischemic stroke. Demonstrating collateral vessels is relevant for better understanding prognosis and for improving the diagnostic assessment in pregnancy.

Keywords: Cerebral blood flow; acute ischemic stroke; arterial spin labeling; digital subtracted angiography; pregnancy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abortion, Induced
  • Adult
  • Brain / diagnostic imaging*
  • Brain / surgery
  • Endovascular Procedures
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / diagnostic imaging*
  • Stroke / complications*
  • Stroke / diagnostic imaging*
  • Stroke / surgery