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Clinical significance of intraplaque hemorrhage in low- and high-grade basilar artery stenosis on high-resolution MRI

American Journal of Neuroradiology Jul 13, 2018

Zhu C, et al. - In subjects with low- and high-grade stenotic basilar artery plaques, researchers assessed the clinical relevance of intraplaque hemorrhage as well as the association between imaging findings (intraplaque hemorrhage, contrast enhancement, degree of stenosis, minimal lumen area, and plaque burden) and symptoms. In both low- and high-grade stenotic basilar artery plaques, intraplaque hemorrhage was present and was independently correlated with symptomatic stroke status. High-risk plaque could be identified by intraplaque hemorrhage and provided new insight into the management of a patient with stroke without significant stenosis. Findings revealed that stenosis, minimal lumen area, and plaque burden were not associated with symptoms.

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