scholarly journals Letter by Gutierrez et al Regarding Article, “Differential Vascular Pathophysiologic Types of Intracranial Atherosclerotic Stroke: A High-Resolution Wall Magnetic Resonance Imaging Study”

Stroke ◽  
2015 ◽  
Vol 46 (12) ◽  
Author(s):  
Jose Gutierrez ◽  
Mitchell S.V. Elkind ◽  
Randolph S. Marshall
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
High Resolution ◽  
Imaging Study ◽  
Magnetic Resonance Imaging Study ◽  
Resonance Imaging

The Microanatomic Basis of Finger Clubbing — A High-resolution Magnetic Resonance Imaging Study

2014 ◽  
Vol 41 (3) ◽  
pp. 523-527 ◽  
Author(s):  
Junichi Nakamura ◽  
Nicola Ann Halliday ◽  
Eiji Fukuba ◽  
Aleksandra Radjenovic ◽  
Steven F. Tanner ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
High Resolution ◽  
Imaging Study ◽  
Magnetic Resonance Imaging Study ◽  
Resonance Imaging ◽  
Nail Bed ◽  
High Resolution Mri ◽  
Bone Edema ◽  
Magnetic Resonance Imaging Mri

Objective.Hypervascularization in finger clubbing is recognized, but its microanatomical basis remains unclear. This pilot descriptive study used magnetic resonance imaging (MRI) to explore this further.Methods.High-resolution MRI acquired with contrast agent was carried out in 4 patients with finger clubbing and 4 healthy volunteers. The anatomy of the nail bed, capsular structures, and bony changes were described.Results.Marked nail bed thickening and contrast enhancement was noted in all clubbed fingers, with bone edema in 3 of the 4 patients. None of the healthy subjects had similar abnormalities.Conclusion.This confirms that hypervascularization of the nail bed observed in the microanatomy on high-resolution MRI is associated with clubbed appearances of the nails.

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