Serial MR observation of cortical laminar necrosis caused by brain infarction

Neuroradiology. 1998 Dec;40(12):771-7. doi: 10.1007/s002340050682.

Abstract

To examine the chronological changes characteristic of cortical laminar necrosis caused by brain infarction, 16 patients were repeatedly examined using T1-, T2-weighted spin-echo, T2*-weighted gradient echo, fluid attenuated inversion recovery (FLAIR) images, and contrast enhanced T1-weighted images at 1.0 or 1.5 T. High intensity cortical lesions were visible on the T1-weighted images from 2 weeks after ictus and became prominent at 1 to 3 months, then became less apparent, but occasionally remained at high intensity for 2 years. High intensity cortical lesions on FLAIR images became prominent from 1 month, and then became less prominent from 1 year, but occasionally remained at high intensity for 2 years. Subcortical lesions did not display high intensity on T1-weighted images at any stage. On FLAIR images, subcortical lesions initially showed slightly high intensity and then low intensity from 6 months due to encephalomalacia. Cortical lesions showed prominent contrast enhancement from 2 weeks to 3 months, but subcortical lesions were prominent from 2 weeks only up to 1 month. T2*-weighted images disclosed haemosiderin in 3 of 7 patients, but there was no correlation with cortical short T1 lesions. Cortical laminar necrosis showed characteristic chronological signal changes on T1-weighted images and FLAIR images. Cortical short T1 lesions were found not to be caused by haemorrhagic infarction.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cerebral Cortex / chemistry
  • Cerebral Cortex / pathology*
  • Cerebral Infarction / pathology*
  • Female
  • Follow-Up Studies
  • Hemosiderin / analysis
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Necrosis
  • Time Factors

Substances

  • Hemosiderin