Non-invasive imaging of intracranial pediatric vascular lesions

Childs Nerv Syst. 2010 Oct;26(10):1275-95. doi: 10.1007/s00381-010-1203-1. Epub 2010 Jul 2.

Abstract

Objectives: The goal of this review is to discuss the different non-invasive imaging techniques as well as the age-specific pediatric vascular pathologies and their imaging features.

Material and methods: Ultrasound, computed tomography, and magnetic resonance imaging features of pediatric ischemic stroke, intracranial hemorrhage, aneurysms, cavernomas, developmental venous anomalies, and arteriovenous malformations are presented. In addition, multiple non-invasive angiographic techniques (CT and MR angiography) and functional MRI sequences (diffusion, perfusion, and susceptibility-weighted imaging) are discussed.

Conclusion: Neurovascular imaging plays a central role in the early, sensitive, and specific diagnosis of pediatric intracranial vascular disorders. A detailed knowledge of the quality and exact angioarchitecture of pediatric vascular pathologies as well as their impact on the cerebral hemo-dynamics is essential to guide and monitor treatment options and to predict functional outcome.

Publication types

  • Review

MeSH terms

  • Brain Ischemia / diagnosis
  • Central Nervous System Venous Angioma / diagnosis
  • Cerebrovascular Disorders / diagnosis*
  • Cerebrovascular Disorders / diagnostic imaging
  • Cerebrovascular Disorders / pathology
  • Child
  • Diagnostic Imaging / methods*
  • Diagnostic Imaging / trends
  • Humans
  • Intracranial Aneurysm / diagnosis
  • Intracranial Arteriovenous Malformations / diagnosis
  • Intracranial Hemorrhages / diagnosis
  • Magnetic Resonance Angiography
  • Magnetic Resonance Imaging
  • Stroke / diagnosis
  • Tomography, X-Ray Computed
  • Ultrasonography