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Abstract #0084

Cerebrovascular reactivity response delays from time regression analysis are uniquely correlated to recent stroke symptomatology in moyamoya

Caleb Jeonghyun Han1, Wesley T. Richerson1, Maria Garza1, Murli Mishra1, Taylor Davis1,2, Matthew Fusco3, Rohan Chitale3, Colin D. McKnight2, Lori C. Jordan1,4, and Manus Donahue1,5,6
1Neurology, Vanderbilt University Medical Center, Nashville, TN, United States, 2Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 3Neurosurgery, Vanderbilt University Medical Center, Nashville, TN, United States, 4Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United States, 5Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 6Electrical and Computer Engineering, Vanderbilt University, Nashville, TN, United States

Synopsis

Keywords: Stroke, Stroke, Cerebrovascular Reactivity, Moyamoya

Motivation: Moyamoya impairment is commonly assessed by anatomical MRI and angiography, yet these methods lack information on compensatory parenchymal behaviors.

Goal(s): To evaluate whether cerebrovascular compliance measures reflect recent ischemic symptomology and may have relevance as biomarkers of stroke risk or as endpoints in interventional trials.

Approach: We applied logistic regression analysis in 73 moyamoya participants to evaluate whether BOLD hypercapnia-induced reactivity or reactivity delays related to recent ischemic symptoms.

Results: Reactivity delays in the flow territory of ischemic symptoms were found to be significantly lengthened compared to the asymptomatic territories. Maximum vasodilatory responses were less closely associated with symptoms.

Impact: The sensitivity of the cerebrovascular reactivity timing profiles to recent ischemic symptomology suggests that the dynamics of vascular compliance may have clinical relevance as a diagnostic measurement of impairment or treatment response in moyamoya.

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