Department of Neurology, University of Mississippi Medical Center, 2500 N. State St, Jackson, MS 39216, USA.
Neurocrit Care. 2010 Dec;13(3):407-10. doi: 10.1007/s12028-010-9419-1.
Perfusion-computed tomography (CTP) is a relatively new technique that allows rapid semiquantitative noninvasive evaluation of cerebral perfusion aiding in the diagnosis of cerebral ischemia and infarction. There is a paucity of data on its application within the posterior circulation, especially, the brainstem. We describe a case of basilar artery thrombosis with cerebellar and brainstem CTP mismatch and discuss possible future applications of CTP for acute posterior fossa circulation and infarction.
Case report.
Successful use of CTP to aid in decision to proceed with neurointervention in acute basilar artery occlusion and confirm its resolution after mechanical clot retrieval.
Perfusion-computed tomography can successfully be used to define cerebral ischemia and infarction within the posterior fossa and aid in decisions to proceed with neurointervention.
灌注计算机断层扫描（CTP）是一种相对较新的技术，可快速进行半定量的非侵入性脑灌注评估，有助于诊断脑缺血和梗死。关于其在后循环中的应用，特别是在脑干中，数据很少。我们描述了一例基底动脉血栓形成，伴有小脑和脑干 CTP 不匹配，并讨论了 CTP 在急性后颅窝循环和梗死中的可能未来应用。
病例报告。
成功使用 CTP 辅助决定对急性基底动脉闭塞进行神经介入，并在机械取栓后确认其再通。
灌注计算机断层扫描可成功用于定义后颅窝的脑缺血和梗死，并有助于决定是否进行神经介入。
