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

Löve, Askell LU ; Siemund, Roger LU ; Andsberg, Gunnar LU ; Cronqvist, Mats LU ; Holtås, Stig LU and Björkman-Burtscher, Isabella LU (2011) In Stroke Research and Treatment 2011(Mar 15).
Abstract
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Stroke Research and Treatment
volume
2011
issue
Mar 15
publisher
Hindawi Publishing Corporation
external identifiers
  • pmid:21603175
  • scopus:79955052232
ISSN
2042-0056
DOI
10.4061/2011/726573
language
English
LU publication?
yes
id
85b71981-e5fe-41f6-bfc2-adcfe81e2ad2 (old id 1972256)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21603175?dopt=Abstract
date added to LUP
2011-06-07 22:14:55
date last changed
2017-10-01 04:58:27
@article{85b71981-e5fe-41f6-bfc2-adcfe81e2ad2,
  abstract     = {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.},
  articleno    = {726573},
  author       = {Löve, Askell and Siemund, Roger and Andsberg, Gunnar and Cronqvist, Mats and Holtås, Stig and Björkman-Burtscher, Isabella},
  issn         = {2042-0056},
  language     = {eng},
  number       = {Mar 15},
  publisher    = {Hindawi Publishing Corporation},
  series       = {Stroke Research and Treatment},
  title        = {Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions.},
  url          = {http://dx.doi.org/10.4061/2011/726573},
  volume       = {2011},
  year         = {2011},
}