Table 1.
Diverse vasculopathies | Features on HRMR VWI |
---|---|
Atherosclerosis | Eccentric wall thickening and enhancement, rarely circumferential wall thickening and enhancement; high signal on T2-weighted images |
Central nervous system vasculitis | Concentric wall thickening and enhancement; rarely eccentric wall thickening and enhancement; no high signal on T2-weighted images. Enhancement persisted a long time with a median of 7 months |
RCVS | Concentric wall thickening with negligible to mild enhancement, and complete resolution of wall thickening on the follow-up VWI |
Intracranial arterial dissection (steno-occlusive pattern) | Intimal flap, double lumen, and intramural haemotoma |
Moyamoya disease | Concentric enhancement on distal internal carotid arteries and middle cerebral arteries (MCAs) regardless of symptoms or stages; MCA shrinkage |
Vertebrobasilar hypoplasia | Narrowing lumen with normal or thick vessel wall |
HRMR VWI: High-resolution magnetic resonance vessel wall imaging; RCVS: Reversible cerebral vasoconstriction syndrome