+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions

Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions

Stroke Research and Treatment 2011: 726573

Background. With modern CT imaging a comprehensive overview of cerebral macro- and microcirculation can be obtained within minutes in acute ischemic stroke. This opens for patient stratification and individualized treatment. Methods. Four patients with acute ischemic stroke of different aetiologies and/or treatments were chosen for illustration of the comprehensive CT protocol and its value in subsequent treatment decisions. The patients were clinically evaluated according to the NIHSS-scale, examined with the comprehensive CT protocol including both CT angiography and CT perfusion, and followed up by MRI. Results. The comprehensive CT examination protocol increased the examination time but did not delay treatment initiation. In some cases CT angiography revealed the cause of stroke while CT perfusion located and graded the perfusion defect with reasonable accuracy, confirmed by follow-up MR-diffusion. In the presented cases findings of the comprehensive CT examination influenced the treatment strategy. Conclusions. The comprehensive CT examination is a fast and safe method allowing accurate diagnosis and making way for individualized treatment in acute ischemic stroke.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 052269583

Download citation: RISBibTeXText

PMID: 21603175

DOI: 10.4061/2011/726573

Related references

Comprehensive evaluation of coronary artery disease and aortic atherosclerosis in acute ischemic stroke patients: usefulness based on Framingham risk score and stroke subtype. Cerebrovascular Diseases 31(6): 592-600, 2011

Death and rehospitalization after transient ischemic attack or acute ischemic stroke: one-year outcomes from the adherence evaluation of acute ischemic stroke-longitudinal registry. Journal of Stroke and Cerebrovascular Diseases 22(7): E181-E188, 2014

Impact of acute ischemic stroke treatment in patients >80 years of age: the specialized program of translational research in acute stroke (SPOTRIAS) consortium experience. Stroke 43(9): 2369-2375, 2012

Influence of Device Choice on the Effect of Intra-Arterial Treatment for Acute Ischemic Stroke in MR CLEAN (Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands). Stroke 47(10): 2574-2581, 2017

Impact of pre-admission treatment with non-vitamin K oral anticoagulants on stroke severity in patients with acute ischemic stroke. Journal of Thrombosis and Thrombolysis 45(4): 529-535, 2018

Acute Ischemic Stroke in the Modern Era: Impact of Stroke Care Regionalization on Evaluation, Documentation and Patient Transport - The Massachusetts General Hospital Experience. Annals of Emergency Medicine 46(3-Supp-S): 62-0, 2005

Comprehensive analysis of intra-arterial treatment for acute ischemic stroke due to cervical artery dissection. Journal of Neurointerventional Surgery 9(7): 654-658, 2016

The chain of care enabling tPA treatment in acute ischemic stroke: a comprehensive review of organisational models. Journal of Neurology 260(4): 960-968, 2013

Evaluation of the implementation of a 24-hr stroke thrombolysis emergency treatment for patients with acute ischaemic stroke. Journal of Clinical Nursing 27(9-10): 2161-2167, 2018

Differential diagnosis of acute ischemic stroke and management on the basis of acute ischemic stroke subtype. Rinsho Shinkeigaku 44(11): 914-917, 2005

The capillary index score: rethinking the acute ischemic stroke treatment algorithm. Results from the Borgess Medical Center Acute Ischemic Stroke Registry. Journal of Neurointerventional Surgery 5(2): 139-143, 2013

Impact of advanced healthcare directives on treatment decisions by physicians in patients with acute stroke. Critical Care Medicine 41(6): 1468-1475, 2013

Chinese acute ischemic stroke treatment outcome registry (CASTOR): protocol for a prospective registry study on patterns of real-world treatment of acute ischemic stroke in China. Bmc Complementary and Alternative Medicine 17(1): 357, 2017

Standardizing the diagnosis of acute ischemic stroke--the concept of an institutional manual and its clinical impact. Brain and Nerve 61(5): 581-589, 2009

Diagnosis and treatment of acute ischemic stroke. Brain and Nerve 65(9): 1023-1030, 2014