[Computed tomography in acute ischemic stroke. Current developments compared with stroke MRI].

Abstract

Modern multimodal acute stroke computed tomography (CT) includes noncontrast cranial CT (NCT), CT angiography (CTA), and CT perfusion imaging (CTP). Compared to stroke MRI, NCT is faster and easier. Multimodal CT can determine acute stroke etiology: Is arterial occlusion or intracerebal hemorrhage present? How extensive are the perfusion disturbance and infarct core, respectively? The information from NCT is sufficient for making acute stroke thrombolysis decisions within 4.5 h from symptom onset. The therapeutic effect of CTA and CTP--as well as acute stroke MRI--on improved functional outcome has still not been established.

• Authors: I Dzialowski, V Puetz, R von Kummer
• Journal: Der Nervenarzt (Nervenarzt) Vol. 80 Issue 2 Pg. 137-40, 142-4, 146 (Feb 2009) ISSN: 1433-0407 [Electronic] Germany
• Vernacular Title: Computertomographie beim akuten Schlaganfall. Aktuelle Entwicklungen im Vergleich mit dem Schlaganfall-MRT.
• PMID: 19139839 (Publication Type: Comparative Study, English Abstract, Journal Article, Review)

Chemical References

• Fibrinolytic Agents

Topics

• Fibrinolytic Agents (administration & dosage)
• Humans
• Magnetic Resonance Angiography (methods)
• Patient Selection
• Stroke (diagnosis, drug therapy)
• Thrombolytic Therapy (trends)
• Tomography, X-Ray Computed (methods)