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Erschienen in: European Radiology 3/2005

01.03.2005 | Neuro

Imaging in acute stroke

verfasst von: Majda M. Thurnher, Mauricio Castillo

Erschienen in: European Radiology | Ausgabe 3/2005

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Abstract

Stroke is a syndrome characterized by a sudden neurological deficit caused by intracranial hemorrhage or ischemia. Computed tomography (CT) maintains a primary role in the evaluation of patients with acute stroke. The optimal magnetic resonance imaging (MRI) protocol in acute stroke includes diffusion-weighted imaging (DWI) to show acute ischemic lesion and MR perfusion study to estimate brain perfusion. Careful selection of patients for a thrombolytic therapy is crucial to improve safety and efficacy.
Literatur
1.
Zurück zum Zitat Chalela JA, Merino JG, Warach S (2004) Update on stroke. Curr Opin Neurol 17:447–451CrossRef Chalela JA, Merino JG, Warach S (2004) Update on stroke. Curr Opin Neurol 17:447–451CrossRef
2.
Zurück zum Zitat Chambers BR, Norris JW; Shurvell BL, Hachinski VC (1987) Prognosis of acute stroke. Neurology 37:221–225 Chambers BR, Norris JW; Shurvell BL, Hachinski VC (1987) Prognosis of acute stroke. Neurology 37:221–225
3.
Zurück zum Zitat Hacke W, Zeumer H, Ferbert A et al. (1988) Intraarterial therapy improves outcome in patients with acute vertebrobasilar disease. Stroke 19:1216–1222 Hacke W, Zeumer H, Ferbert A et al. (1988) Intraarterial therapy improves outcome in patients with acute vertebrobasilar disease. Stroke 19:1216–1222
4.
Zurück zum Zitat Bruckmann H, Ferbert A, del Zoppo GJ, Hacke W, Zeumer H (1987) Acute basilar thrombosis: angiologic-clinical comparison and therapeutic implications. Acta Radiol 369:38–42 Bruckmann H, Ferbert A, del Zoppo GJ, Hacke W, Zeumer H (1987) Acute basilar thrombosis: angiologic-clinical comparison and therapeutic implications. Acta Radiol 369:38–42
5.
Zurück zum Zitat Markus HS (2004) Cerebral perfusion and stroke. J Neurol Neurosurg Psychiatry 75:353–361CrossRef Markus HS (2004) Cerebral perfusion and stroke. J Neurol Neurosurg Psychiatry 75:353–361CrossRef
6.
Zurück zum Zitat Astrup J, Siesjo B, Symon L (1981) Thresholds in cerebral ischemia: the ischemic penumbra. Stroke 12:723–725 Astrup J, Siesjo B, Symon L (1981) Thresholds in cerebral ischemia: the ischemic penumbra. Stroke 12:723–725
7.
Zurück zum Zitat Heiss W, Rosner G (1983) Functional recovery of cortical neurons as related to degree and duration of ischemia. Ann Neurol 14:294–301CrossRef Heiss W, Rosner G (1983) Functional recovery of cortical neurons as related to degree and duration of ischemia. Ann Neurol 14:294–301CrossRef
8.
Zurück zum Zitat Katzman R, Clasen R, Klatzo I et al. (1977) Report of joint committee for stroke resources. IV. Brain edema in stroke. Stroke 8:512–540 Katzman R, Clasen R, Klatzo I et al. (1977) Report of joint committee for stroke resources. IV. Brain edema in stroke. Stroke 8:512–540
9.
Zurück zum Zitat Unger E, Littlefield J, Gado M (1988) Water content and water structure in CT and MR signal changes: possible influence in detection of early stroke. Am J Neuroradiol 9:687–691 Unger E, Littlefield J, Gado M (1988) Water content and water structure in CT and MR signal changes: possible influence in detection of early stroke. Am J Neuroradiol 9:687–691
10.
Zurück zum Zitat Tomura N, Uemura K, Inugami A et al. (1988) Early CT finding in cerebral infarction: obscuration of the lentiform nucleus. Radiology 168:463–467PubMed Tomura N, Uemura K, Inugami A et al. (1988) Early CT finding in cerebral infarction: obscuration of the lentiform nucleus. Radiology 168:463–467PubMed
11.
Zurück zum Zitat Pressman BD, Tourje EJ, Thompson JR (1987) An early sign of ischemic infarction: increased density in a cerebral artery. Am J Neuroradiol 8:645–648 Pressman BD, Tourje EJ, Thompson JR (1987) An early sign of ischemic infarction: increased density in a cerebral artery. Am J Neuroradiol 8:645–648
12.
Zurück zum Zitat Schuierer G, Huk W (1988) The unilateral hyperdense middle cerebral artery: an early CT-sign of embolism or thrombosis. Neuroradiology 30:120–122PubMed Schuierer G, Huk W (1988) The unilateral hyperdense middle cerebral artery: an early CT-sign of embolism or thrombosis. Neuroradiology 30:120–122PubMed
13.
Zurück zum Zitat Truwit CL, Barkovich AJ, Gean-Marton A, Hibri N, Norman D (1990) Loss of insular ribbon: another early CT sign of acute middle cerebral artery infarction. Radiology 176:801–806PubMed Truwit CL, Barkovich AJ, Gean-Marton A, Hibri N, Norman D (1990) Loss of insular ribbon: another early CT sign of acute middle cerebral artery infarction. Radiology 176:801–806PubMed
14.
Zurück zum Zitat Hoeffner EG, Case I, Jain R et al. (2004) Cerebral perfusion CT: technique and clinical applications. Radiology 231:632–644 Hoeffner EG, Case I, Jain R et al. (2004) Cerebral perfusion CT: technique and clinical applications. Radiology 231:632–644
15.
Zurück zum Zitat Miles KA (2003) Acute cerebral stroke imaging and brain perfusion with the use of high-concentration contrast media. Eur Radiol 13:M117–M120PubMed Miles KA (2003) Acute cerebral stroke imaging and brain perfusion with the use of high-concentration contrast media. Eur Radiol 13:M117–M120PubMed
16.
Zurück zum Zitat Huisman TA (2003) Diffusion-weighted imaging: basic concepts and application in cerebral stroke and head trauma. Eur Radiol 13:2283–2297CrossRefPubMed Huisman TA (2003) Diffusion-weighted imaging: basic concepts and application in cerebral stroke and head trauma. Eur Radiol 13:2283–2297CrossRefPubMed
17.
Zurück zum Zitat LeBihan D, Breton E, Lallemand D et al. (1986) MR imaging of intravoxel incoherent motions: application to diffusion and perfusion in neurological disorders. Radiology 161:401–407PubMed LeBihan D, Breton E, Lallemand D et al. (1986) MR imaging of intravoxel incoherent motions: application to diffusion and perfusion in neurological disorders. Radiology 161:401–407PubMed
18.
Zurück zum Zitat Reith W, Hasegawa Y, Latour LL et al. (1995) Multislice diffusion mapping for 3-D evolution of cerebral ischemia in a rat stroke model. Neurology 45:172–177 Reith W, Hasegawa Y, Latour LL et al. (1995) Multislice diffusion mapping for 3-D evolution of cerebral ischemia in a rat stroke model. Neurology 45:172–177
19.
Zurück zum Zitat Schlaug G, Siewert B, Benfield A, Edelman RR, Warach S (1997) Time course of the apparent diffusion coefficient (ADC) abnormalities in human stroke. Neurology 49:113–119PubMed Schlaug G, Siewert B, Benfield A, Edelman RR, Warach S (1997) Time course of the apparent diffusion coefficient (ADC) abnormalities in human stroke. Neurology 49:113–119PubMed
20.
Zurück zum Zitat Lansberg MG, Thijs VN, O’Brien MW et al. (2001) Evolution of apparent diffusion coefficient, diffusion-weighted, and T2-weighted signal intensity of acute stroke. Am J Neuroradiol 22:637–644PubMed Lansberg MG, Thijs VN, O’Brien MW et al. (2001) Evolution of apparent diffusion coefficient, diffusion-weighted, and T2-weighted signal intensity of acute stroke. Am J Neuroradiol 22:637–644PubMed
21.
Zurück zum Zitat Burdette J, Ricci PE, Petitti N, Elster AD (1998) Cerebral infarction: time course of signal intensity changes on diffusion-weighted MR images. Am J Radiol 171:791–795 Burdette J, Ricci PE, Petitti N, Elster AD (1998) Cerebral infarction: time course of signal intensity changes on diffusion-weighted MR images. Am J Radiol 171:791–795
22.
Zurück zum Zitat Mullins ME, Schaefer PW, Sorensen AG et al. (2002) CT and conventional and diffusion-weighted MR imaging in acute stroke: study in 691 patients at presentation to the emergency department. Radiology 224:353–360 Mullins ME, Schaefer PW, Sorensen AG et al. (2002) CT and conventional and diffusion-weighted MR imaging in acute stroke: study in 691 patients at presentation to the emergency department. Radiology 224:353–360
23.
Zurück zum Zitat Nasel C, Azizi A, Veintimilla A, Mallek R, Schindler E (2000) A standardized method of generating time-to-peak perfusion maps in dynamic-susceptibility contrast-enhanced MR imaging. Am J Neuroradiol 21:1195–1198 Nasel C, Azizi A, Veintimilla A, Mallek R, Schindler E (2000) A standardized method of generating time-to-peak perfusion maps in dynamic-susceptibility contrast-enhanced MR imaging. Am J Neuroradiol 21:1195–1198
24.
Zurück zum Zitat Handschu R, Fateh-Moghadam S, Klotz E et al. (2004) Multimodale Computertomographie beim akuten Hirninfarkt. Nervenarzt 75:564–576CrossRef Handschu R, Fateh-Moghadam S, Klotz E et al. (2004) Multimodale Computertomographie beim akuten Hirninfarkt. Nervenarzt 75:564–576CrossRef
25.
Zurück zum Zitat Jahan R, Duckwiler GR, Kidwell CS et al. (1999) Intraarterial thrombolysis for treatment of acute stroke: experience in 26 patients with long-term follow-up. Am J Neuroradiol 20:1291–1299 Jahan R, Duckwiler GR, Kidwell CS et al. (1999) Intraarterial thrombolysis for treatment of acute stroke: experience in 26 patients with long-term follow-up. Am J Neuroradiol 20:1291–1299
26.
Zurück zum Zitat Arnold M, Schroth G, Nedeltchev K et al. (2002) Intra-arterial thrombolysis in 100 patients with acute stroke due to middle cerebral artery occlusion. Stroke 33:1828–1833CrossRefPubMed Arnold M, Schroth G, Nedeltchev K et al. (2002) Intra-arterial thrombolysis in 100 patients with acute stroke due to middle cerebral artery occlusion. Stroke 33:1828–1833CrossRefPubMed
Metadaten
Titel
Imaging in acute stroke
verfasst von
Majda M. Thurnher
Mauricio Castillo
Publikationsdatum
01.03.2005
Erschienen in
European Radiology / Ausgabe 3/2005
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-004-2630-8

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