Pathognomonic is the detection of an intramural hematoma due to bleeding into the vessel wall. This can best be detected by magnetic resonance imaging (MRI) in native, fat-saturated T1 sequences (black-blood sequence). In addition, contrast-enhanced angiography should be performed using MRI or, alternatively, computed tomography (CT). As there is an increased risk of embolic or hemodynamically induced strokes, prophylactic treatment should be initiated immediately; it remains a case-by-case decision whether antiplatelet agents or oral anticoagulants are chosen for this purpose.
Keyphrases
- contrast enhanced
- computed tomography
- magnetic resonance imaging
- diffusion weighted
- oral anticoagulants
- atrial fibrillation
- diffusion weighted imaging
- dual energy
- positron emission tomography
- magnetic resonance
- image quality
- optical coherence tomography
- adipose tissue
- diabetic rats
- decision making
- real time pcr
- loop mediated isothermal amplification