Intracranial atherosclerotic disease and acute ischaemic stroke: A review of diagnosis and management

J Med Imaging Radiat Oncol. 2022 Apr;66(3):391-403. doi: 10.1111/1754-9485.13366. Epub 2021 Dec 10.

Abstract

Intracranial atherosclerotic disease is highly prevalent and a common cause of ischaemic stroke globally. With the increasing use of endovascular treatment for acute stroke management, computed tomography and magnetic resonance imaging have become an essential part of patient selection. In this review, we present the typical imaging findings of intracranial atherosclerosis and an overview of management as relevant to diagnostic and interventional radiologists.

Keywords: acute ischaemic stroke; computed tomography; endovascular treatment; intracranial atherosclerotic disease; pictorial review.

Publication types

  • Review

MeSH terms

  • Brain Ischemia* / diagnostic imaging
  • Brain Ischemia* / therapy
  • Humans
  • Intracranial Arteriosclerosis* / diagnostic imaging
  • Intracranial Arteriosclerosis* / therapy
  • Ischemic Stroke*
  • Magnetic Resonance Imaging
  • Stroke* / diagnostic imaging
  • Stroke* / therapy