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Fogging effect and MR imaging: a case report of pontine infarction

A Uchino1, T Miyoshi, M Ohno

  • 1Department of Radiology, Kyushu Rosai Hospital, Fukuoka, Japan.

Radiation Medicine
|May 1, 1990
PubMed

Insights

Serial MRI revealed a fogging effect in a pontine infarct 12 days post-ictus. Understanding this imaging artifact is crucial for accurate pontine stroke interpretation.

Area of Science:

  • Neurology
  • Radiology
  • Medical Imaging

Background:

  • Pontine infarcts are strokes affecting the pons, a critical brainstem region.
  • Magnetic Resonance (MR) imaging is a primary diagnostic tool for cerebrovascular events.

Observation:

  • Serial MR imaging was employed to monitor a pontine infarct in an elderly male patient.
  • A specific imaging artifact, termed the 'fogging effect,' was noted on images acquired 12 days after the initial stroke event.

Findings:

  • The fogging effect manifests as a subtle, diffuse signal abnormality on MR images.
  • This effect appeared approximately 12 days after the ictus, suggesting a temporal component to its development.

Implications:

  • Accurate interpretation of MR imaging in pontine infarct cases requires awareness of the fogging effect.
  • Recognizing this artifact can prevent misdiagnosis or misinterpretation of infarct evolution.
  • Further research may elucidate the precise pathophysiology and clinical significance of the fogging effect in stroke imaging.

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