Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions
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...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.4061/2011/726573 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832553949792567296 |
|---|---|
| author | Askell Löve Roger Siemund Gunnar Andsberg Mats Cronqvist Stig Holtås Isabella Björkman-Burtscher |
| author_facet | Askell Löve Roger Siemund Gunnar Andsberg Mats Cronqvist Stig Holtås Isabella Björkman-Burtscher |
| author_sort | Askell Löve |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-7808ec817eaf43b7a85783547ae5e0b9 |
| institution | Kabale University |
| issn | 2042-0056 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-7808ec817eaf43b7a85783547ae5e0b92025-02-03T05:52:45ZengWileyStroke Research and Treatment2042-00562011-01-01201110.4061/2011/726573726573Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment DecisionsAskell Löve0Roger Siemund1Gunnar Andsberg2Mats Cronqvist3Stig Holtås4Isabella Björkman-Burtscher5Department of Neuroradiology, Skåne University Hospital, Lund University, Getingevägen 4, 221 85 Lund, SwedenDepartment of Neuroradiology, Skåne University Hospital, Lund University, Getingevägen 4, 221 85 Lund, SwedenDepartment of Neurology and Wallenberg Neuroscience Center, Skåne University Hospital, Lund University, 221 85 Lund, SwedenDepartment of Neuroradiology, Skåne University Hospital, Lund University, Getingevägen 4, 221 85 Lund, SwedenDepartment of Neuroradiology, Skåne University Hospital, Lund University, Getingevägen 4, 221 85 Lund, SwedenDepartment of Neuroradiology, Skåne University Hospital, Lund University, Getingevägen 4, 221 85 Lund, SwedenBackground. 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.http://dx.doi.org/10.4061/2011/726573 |
| spellingShingle | Askell Löve Roger Siemund Gunnar Andsberg Mats Cronqvist Stig Holtås Isabella Björkman-Burtscher Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions Stroke Research and Treatment |
| title | Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions |
| title_full | Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions |
| title_fullStr | Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions |
| title_full_unstemmed | Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions |
| title_short | Comprehensive CT Evaluation in Acute Ischemic Stroke: Impact on Diagnosis and Treatment Decisions |
| title_sort | comprehensive ct evaluation in acute ischemic stroke impact on diagnosis and treatment decisions |
| url | http://dx.doi.org/10.4061/2011/726573 |
| work_keys_str_mv | AT askelllove comprehensivectevaluationinacuteischemicstrokeimpactondiagnosisandtreatmentdecisions AT rogersiemund comprehensivectevaluationinacuteischemicstrokeimpactondiagnosisandtreatmentdecisions AT gunnarandsberg comprehensivectevaluationinacuteischemicstrokeimpactondiagnosisandtreatmentdecisions AT matscronqvist comprehensivectevaluationinacuteischemicstrokeimpactondiagnosisandtreatmentdecisions AT stigholtas comprehensivectevaluationinacuteischemicstrokeimpactondiagnosisandtreatmentdecisions AT isabellabjorkmanburtscher comprehensivectevaluationinacuteischemicstrokeimpactondiagnosisandtreatmentdecisions |