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Circle of Willis Stenoses: Differential Diagnoses

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Today, we're going to cover a section on

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Circle of Willis stenosis that you might see on CTA.

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They can cause territorial border

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zone or deep gray nuclei infarcts.

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In older patients, we tend to see this in

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atherosclerotic disease, which is the most common

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cause of multifocal intracranial stenosis.

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Primary angiitis of the CNS is an

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inflammatory condition that you tend to

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see in younger and middle-aged patients,

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but can also be seen in older patients.

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Reversible Cerebral Vasoconstriction Syndrome

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is a vasospasm syndrome seen in

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usually younger patients,

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and is related to a number of drugs.

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Infection, tuberculosis,

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is seen in endemic areas.

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Varicella is seen in immunocompromised

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patients, including very old patients

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who are naturally immunocompromised.

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And then moyamoya, which can be a

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primary disease or can be associated

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with other entities or acquired.

Report

Faculty

Pamela W Schaefer, MD, FACR

Professor of Radiology, Vice Chair of Education

Massachusetts General Hospital

Tags

Vascular Imaging

Vascular

Perfusion

Neuroradiology

Neuro

MRP

MRI

MRA

Head and Neck

CTP

CTA

CT

Brain

Angiography

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