Chapter 2. Use of Imaging in Cerebrovascular Disease

  1. Nils Erik Gilhus MD, PhD Professor8,
  2. Michael P. Barnes MD, FRCP Professor of Neurological Rehabilitation Medical Director9 and
  3. Michael Brainin MD Professor10
  1. P. Irimia1,
  2. S. Asenbaum2,
  3. M. Brainin3,
  4. H. Chabriat4,
  5. E. Martínez-Vila1,
  6. K. Niederkorn5,
  7. P. D. Schellinger6,
  8. R. J. Seitz7 and
  9. J. C. Masdeu1

Published Online: 6 SEP 2010

DOI: 10.1002/9781444328394.ch2

European Handbook of Neurological Management, Second Edition, Volume 1, Second Edition

European Handbook of Neurological Management, Second Edition, Volume 1, Second Edition

How to Cite

Gilhus, N. E., Barnes, M. P. and Brainin, M. (2010) Use of Imaging in Cerebrovascular Disease, in European Handbook of Neurological Management, Second Edition, Volume 1, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444328394.ch2

Author Information

  1. 8

    Department of Clinical Medicine, University of Bergen and Department of Neurology, Haukeland University Hospital, Bergen, Norway

  2. 9

    University of Newcastle, Hunters Moor Neurorehabilitation Ltd, Newcastle upon Tyne, UK

  3. 10

    Department of Clinical Medicine and Prevention, and Center for Clinical Neurosciences, Donau-Universität Krems, Department of Neurology, Landesklinikum Donauregion Tulln Tulln, Austria

Author Information

  1. 1

    University of Navarra, Pamplona, Spain

  2. 2

    Medical University of Vienna, Austria

  3. 3

    Donauklinikum and Donau-Universität, Maria Gugging, Austria

  4. 4

    Lariboisiere Hospital, University of Paris, France

  5. 5

    Karl Franzens University, Graz, Austria

  6. 6

    University Clinic at Erlangen, Germany

  7. 7

    University Hospital Düsseldorf, Germany

Publication History

  1. Published Online: 6 SEP 2010
  2. Published Print: 15 OCT 2010

ISBN Information

Print ISBN: 9781405185332

Online ISBN: 9781444328394



  • imaging use-in cerebrovascular disease;
  • objective of task force, to actualize EFNS Guideline-use of neuroimaging for management of acute stroke;
  • stroke, second most common cause of death worldwide-major determining factor of hospital admission and permanent disability in developed countries;
  • successful care of acute stroke patients-rapid and accurate diagnosis, time window for treatment being narrow;
  • primary objectives of brain imaging in acute stroke-to exclude a non-vascular lesion as cause of symptoms;
  • Alberta Stroke Programme Early CT Score (ASPECTS);
  • magnetic resonance imaging-a higher sensitivity than conventional CT;
  • MRI, haemorrhagic event accurately-and for detecting lesions;
  • transcranial Doppler (TCD) and transcranial colour-coded duplex (TCCD)-non-invasive ultrasonographic procedures;
  • Magnetic resonance angiography (MRA), identifying intracranial steno-occlusive lesions in proximal segments


This chapter contains sections titled:

  • Objectives

  • Background

  • Search strategy

  • Method for reaching consensus

  • Results

  • References