Cerebral Phosphorus Magnetic Resonance Spectroscopy in a Patient with Giant Cell Arteritis and Endovascular Therapy

With phosphorus magnetic resonance spectroscopy (31P MRS) energy metabolites can be visualised. In this case study, we report on a patient with stenosis and wall contrast enhancement in the left internal carotid and the right vertebral artery, due to giant cell arteritis. 31P MRS revealed a decrease...

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Bibliographic Details
Main Authors: Ruth Steiger, Lisa-Maria Walchhofer, Andreas Rietzler, Katherina J. Mair, Michael Knoflach, Bernhard Glodny, Elke R. Gizewski, Astrid E. Grams
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2018/7806395
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Summary:With phosphorus magnetic resonance spectroscopy (31P MRS) energy metabolites can be visualised. In this case study, we report on a patient with stenosis and wall contrast enhancement in the left internal carotid and the right vertebral artery, due to giant cell arteritis. 31P MRS revealed a decreased inorganic phosphate-to-phosphocreatine ratio (Pi/PCr) in regions with a prolonged mean transit time (MTT). After systemic therapy and angioplasty of the right vertebral artery, the stenosis and the symptoms improved and the area of prolonged MTT became smaller. However, a new decrease in Pi/PCr in areas that developed moderately prolonged MTT was observed.
ISSN:2090-6862
2090-6870