Perfusion imaging averting intravenous thrombolysis in stroke mimics.

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Bibliographic Details
Title: Perfusion imaging averting intravenous thrombolysis in stroke mimics.
Authors: Psychogios, Klearchos (AUTHOR), Kargiotis, Odysseas (AUTHOR), Safouris, Apostolos (AUTHOR), Magoufis, Georgios (AUTHOR), Gelagoti, Maria (AUTHOR), Bonakis, Anastasios (AUTHOR), Stamboulis, Eleftherios (AUTHOR), Tsivgoulis, Georgios (AUTHOR)
Source: Neurological Sciences. Jun2021, Vol. 42 Issue 6, p2591-2594. 4p. 1 Color Photograph.
Subjects: Stroke, Thrombolytic therapy, Perfusion, Ischemic stroke
Abstract: Perfusion imaging (either CT or MR) which has been widely used in recent randomized controlled clinical trials of mechanical thrombectomy (MT) [[1]] and IVT in the extended time window [[2]] can promptly identify stroke mimics and optimize therapeutic management. CT perfusion showed areas of Tmax>4 s prolongation in the left parietal and left frontal regions while CT angiography was normal (Supplementary Fig. Initial CT/CT angiography and CT perfusion (supplemental figure) postprocessed with RAPID software (IschemaView, Menlo Park, CA) demonstrated a bilateral frontal and right parietal hypoperfusion which was considered discordant with the clinical examination, and the patient was admitted to the stroke unit. [Extracted from the article]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Perfusion imaging (either CT or MR) which has been widely used in recent randomized controlled clinical trials of mechanical thrombectomy (MT) [[1]] and IVT in the extended time window [[2]] can promptly identify stroke mimics and optimize therapeutic management. CT perfusion showed areas of Tmax>4 s prolongation in the left parietal and left frontal regions while CT angiography was normal (Supplementary Fig. Initial CT/CT angiography and CT perfusion (supplemental figure) postprocessed with RAPID software (IschemaView, Menlo Park, CA) demonstrated a bilateral frontal and right parietal hypoperfusion which was considered discordant with the clinical examination, and the patient was admitted to the stroke unit. [Extracted from the article]
ISSN:15901874
DOI:10.1007/s10072-021-05090-9