Over the last few years magnetic resonance imaging (MRI) has developed
into a multipurpose imaging technique. In addition to anatomical info
rmation, data can be obtained on perfusion, metabolism and imaging of
the vascular anatomy. Especially in the field of neuroradiology the po
ssibilities for obtaining multifunctional information from combined MR
examinations are promising. In particular, stroke or stroke-related r
esearch benefits from these developments. This article reviews the cur
rent status and the potential of newly developed MR techniques with re
gard to the intracranial hemodynamic changes in patients with severe s
tenosis or occlusion of the internal carotid artery. The combination o
f MR angiography, perfusion-weighted MRI and MR spectroscopic imaging
seems especially useful in the management of the individual patient.