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Updated: Aug 8, 2026

Brain Infarct Segmentation and Registration on MRI or CT for Lesion-symptom Mapping
Published on: September 25, 2019
[Imaging techniques in diagnosis of brainstem infarction]
G Schulte-Altedorneburg1, H Brückmann
1Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, 66421, Homburg/Saar, Deutschland. Gernot.SAD@gmx.de
Vertebrobasilar circulation issues cause 20% of ischemic strokes. This review details advanced imaging for diagnosing brainstem infarction and evaluating vertebrobasilar stenosis.
Area of Science:
- Neurology
- Radiology
- Vascular Imaging
Context:
- Cerebral ischemic infarctions often involve the vertebrobasilar circulation, accounting for 20% of cases.
- Brainstem infarction presents diagnostic challenges due to the complex anatomy of the posterior circulation.
Purpose:
- To review current literature and present experiences on diagnosing brainstem infarction.
- To describe the utility of various imaging techniques, including CT and MRI, for brainstem infarction.
- To outline the roles of invasive and noninvasive vascular imaging for evaluating vertebrobasilar stenosis and occlusion.
Summary:
- This work evaluates computed tomography (CT) and magnetic resonance (MR) imaging for diagnosing brainstem infarction.
- It details the application of computed tomographic angiography (CTA), MR angiography (MRA), intra-arterial angiography, and ultrasound in assessing vertebrobasilar stenosis and occlusion.
- The diagnostic pathway for basilar artery thrombosis, a severe form of brainstem infarction, is presented.
Impact:
- Provides a comprehensive overview of diagnostic strategies for brainstem infarction.
- Highlights the value of advanced imaging techniques in managing vertebrobasilar diseases.
- Aids clinicians in the workup of patients with posterior circulation stroke.
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