AccScience Publishing / AN / Volume 1 / Issue 1 / DOI: 10.36922/an.v1i1.10
Cite this article
Journal Browser
Volume | Year
News and Announcements
View All

Interpretation of infarct location in relationship to perfusion territories using territorial arterial spin labeling in a patient with multiple infarctions: A case report

Yuehui Hong1 Lixin Zhou1 Bo Hou2 Xiaoyuan Fan2 Jun Ni1*
Show Less
1 Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical College & Peking Union Medical College, Dongcheng District, Beijing, China
2 Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical College & Peking Union Medical College, Dongcheng District, Beijing, China
Advanced Neurology 2022, 1(1), 10
Submitted: 24 November 2021 | Accepted: 23 February 2022 | Published: 16 March 2022
© 2022 by the Authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( )

We, herein, describe a 50-year-old man with steno-occlusive cerebrovascular disease and multiple infarcts that were expected to be within the perfusion territories of the basilar artery (BA) and left internal carotid artery. However, territorial arterial spin labeling (T-ASL) perfusion magnetic resonance imaging showed that the infarct lesions were only located in the perfusion territory of the BA and confirmed the stroke etiology of large artery atherosclerosis. This case implies that the diagnostic information provided by T-ASL is valuable for identifying the symptomatic perfusion territories and stroke etiology. This technique is, therefore, able to guide therapeutic management in patients with multiple infarcts.

Etiology and mechanism
Multiple infarcts
Territorial arterial spin labeling

van der Zwan A, Hillen B, Tulleken CA, et al., 1993, A quantitative investigation of the variability of the major cerebral arterial territories. Stroke, 24(12): 1951–1959.


van Laar PJ, Hendrikse J, Golay X, et al., 2006, In vivo flow territory mapping of major brain feeding arteries. Neuroimage, 29(1): 136–144.


Liebeskind DS, 2003, Collateral circulation. Stroke, 34(9): 2279–2284.


van Laar PJ, van der Grond J, Hendrikse J, 2008, Brain perfusion territory imaging: methods and clinical applications of selective arterial spin-labeling MR imaging. Radiology, 246(2): 354–364.


Hendrikse J, Petersen ET, Cheze A, et al., 2009, Relation between cerebral perfusion territories and location of cerebral infarcts. Stroke, 40(5): 1617–1622.


Hartkamp NS, Hendrikse J, De Cocker LJ, et al., 2016, Misinterpretation of ischaemic infarct location in relationship to the cerebrovascular territories. J Neurol Neurosurg Psychiatry, 87(10): 1084–1090.

Conflict of interest
The authors declare no conflicts of interest.
Back to top
Advanced Neurology, Electronic ISSN: 2810-9619 Published by AccScience Publishing