By Luca Saba
Vascular Neurology, Vascular Neurosurgery and Interventional Neuroradiology are self sufficient fields with committed education courses. Neuroimaging, and specifically what we name "Neurovascular Imaging" is a unifying issue that are thought of the intersection of those 3 clinical specialties. With this ebook we target to hide completely the imaging recommendations, possibilities, and current and destiny functions as utilized to the entire vascular illnesses of the crucial frightened approach from the imaging perspective. This ebook will include 8 major sections: (1) the fundamentals, (2) Arteries of the pinnacle and Neck (3) the fundamentals of Intracranial Arteries (4) ailments of the vessels (5) Stroke Imaging (6) Veins Imaging (7) backbone Imaging (8) Pediatrics.
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Extra info for Neurovascular Imaging: From Basics to Advanced Concepts
45 Abstract Atherosclerosis is the main cause of vascular disease in most cases; in about 10 % of cases, carotid artery disease is related to nonatherosclerotic causes, including several unfrequent pathologies such as Takayasu arteritis, giant cell arteritis, ﬁbromuscular disease, moyamoya syndrome, arterial dissection and extracranial carotid aneurysm. These entities are discussed in the present chapter, with a special focus on pathogenesis.
Ultrasound (US) usually is the ﬁrst imaging technique used; it is safe, repeatable, and very precise in particular for the evaluation of the superﬁcial vessels, such as supra-aortic trunks located in the neck, and the arteries of the upper and lower limbs. Multidetector computed tomography (MDCT) is more accurate for the evaluation of atherosclerotic plaque; it uses ionizing radiation, and an intravenous iodinate contrast medium administration is required in order to enhance the vessels and to evaluate the composition of the plaque and the grade of stenosis of the vessel.
Once, together with higher organism complexity, more complicated anatomical structures are added on, we will see a more sophisticated vasculature pattern that is better understood keeping in mind the very simple basic segmental arrangement of the spinal cord. We can think of the developing brain as a progressively enlarging segment of the cord, requiring larger surface and deep perforator vessels as key to understanding evolution and vascular To ribs, muscle, etc. Dominant radicular artery supplying two levels variations.