Examenul CT in AVC

Prof. dr. DANISIA HABA

UMF GR.T. Popa Iasi
Dep. de Radiologie, Sp. Cl. De Urgenta
Prof. dr. N. Oblu Iasi
 ACCIDENTE VASCULARE
CEREBRALE (AVC)
 AVC= deficit neurologic care are drept cauza o leziune
vasculara arteriala (frecventa~90%) si implica o leziune
temporala/permanenta a parenchimului cerebral.
 AVC arteriale - ischemice~ 80%,
- hemoragice~20% , pot fi intra-
parenchimatoase +/- HSA
 AVC venoase –tromboze venoase cerebrale
 AVC
 Ischemie arteriala : 80%
 Occluzia vaselor mari 15-40%
 Emboli cardiaci 15-30%
 Infarct lacunar al v. mici 15-30%
 Leziuni sanghine, vascularita 5-10%
 Hemoragie parenchimatoasa 15%
 HAS 5%
 Ischemie venoasa 1%
Infarct cerebral acut in ACM stg. la o pacienta de 56ani. A. CT cranio-
cerebral initial , fara contrast, evidentiind hiperdensitate in ACM stanga.
(“dense MCA”) is noted (early CT sign of MCA infarct). On follow-up CT
scan 1 day later, hypodensity in the vascular territory of the right MCA is
clearly depicted. Hemorrhagic transformation of the MCA infarction
is detected 48 h after the onset of symptoms
 Hemorrhagic transformation of the MCA infarction is detected 48 h after
the onset of symptoms . On unenhanced CT scan of the brain, subtle
hypodensity is observed in the right insular cortex. b, c CT angiography
(CTA) demonstrates occlusion of the right middle cerebral artery
 On unenhanced CT scan of the brain, subtle hypodensity is observed in the
right insular cortex. b, c CT angiography (CTA) - occlusion of the right
middle cerebral artery
Acute right MCA infarct in a 60-year-old male patient. On
initial unenhanced CT scan of the brain, hyperdensity along
the right middle cerebral artery (“dense MCA”) -early CT
sign of MCA infarct. On follow-up CT scan 1 day later,
hypodensity in the vascular territory of the right MCA
R.M. 68 ani hemiplegie stg
CT in a patient with left-sided weakness, 2 h after the onset of
symptoms. Subtle hypoattenuation and sulcal effacement in
the right insular region are noted on unenhanced CT of the
brain. (Courtesy of Bidyut USA) K. Pramanik, New York
University, NY,
Low perfusion is detected in the region of the right MCA on
PCT maps (time-to-peak, cerebral blood volume). (Courtesy
of Bidyut USA) K. Pramanik, New York University
 a-c. Comparison of nonenhanced computed tomography (NECT) and
diffusion-weighted MRI (DWI) in the detection of acute ischemia (both
imaging modalities performed 3 h after onset). a NECT scan of the brain
shows subtle hypodensity in the left frontal region. B Increased signal
intensity is shown on DWI in the affected region. c Low apparent
diffusion coefficient (ADC) value on the ADC map suggests
restricted diffusion in acute ischemia
A. E., 74 ANI, HEMI STG, DEV. CONJ.
CAP SI GO SPRE STG
A. E., 74 ANI, HEMI STG, DEV.
CONJ. CAP SI GO SPRE STG
G. V. 52 ANI, HEMIPLEGIE DR.
N.O. 45ani- C-PICA DR
SF 21 -43ani-hemipareza dr
T.I. 59 ani hemipareza stg.