Relations between location and type of intracranial atherosclerosis and parenchymal damage

Nikki Dieleman, Anja G van der Kolk, Jaco Jm Zwanenburg, Manon Brundel, Anita A Harteveld, Geert J Biessels, Fredy Visser, Peter R Luijten, J Hendrikse

Research output: Contribution to journalArticleAcademicpeer-review


The aim of this study was to assess the relation between location and type of intracranial atherosclerosis (ICAS) and cortical microinfarcts (CMIs) and macroinfarcts in 18 patients presenting with ischemic stroke (n = 12) or transient ischemic attack (TIA) (n = 6) using 7 tesla MR imaging. The protocol included: 3D T2-weighted FLAIR and 3D T1-weighted Magnetization-Preparation Inversion Recovery Turbo Spin Echo sequence. ICAS lesions and infarcts were scored by two raters. The relation between ICAS lesions, calculated ratios of ICAS lesion characteristics, location, and infarcts were examined using linear regression analyses. A total number of 75 ICAS lesions (all patients), 101 CMIs (78% of patients), and 31 macroinfarcts (67% of patients) were found. Seventy-six and sixty-five percent of the CMIs and macroinfarcts, respectively, were found in the same vascular territory as the ICAS lesions (p = 0.977, p = 0.167, respectively). A positive correlation existed between the number of macroinfarcts and CMIs (p < 0.05). In patients with macroinfarcts, we found more concentric (p < 0.01) and diffuse (p < 0.05) type of ICAS lesions. A high prevalence of brain tissue lesions, both macroinfarcts and CMIs, were found in patients with ICAS. Macroinfarcts were found to be related to specific ICAS lesion types. The type of ICAS lesion seems to be promising as a marker for ICAS patients at higher risk of future infarcts.

Original languageEnglish
Pages (from-to)1271-1280
JournalJournal of Cerebral Blood Flow and Metabolism
Issue number7
Publication statusPublished - Jul 2016


  • Intracranial atherosclerosis
  • macroinfarcts
  • cortical microinfarcts
  • MRI
  • vessel wall
  • ischemic stroke
  • transient ischemic attack


Dive into the research topics of 'Relations between location and type of intracranial atherosclerosis and parenchymal damage'. Together they form a unique fingerprint.

Cite this