What to Look for on Post-stroke Neuroimaging.
Autor: | Katramados AM; Department of Neurology, Wayne State University, Henry Ford Hospital, K-11, 2799 West Grand Boulevard, Detroit, MI 48202, USA., Hacein-Bey L; Interventional Neuroradiology and Neuroradiology, Department of Medical Imaging, Sutter Health, Sacramento, CA 95815, USA; Radiology Department, University of California Davis Medical School of Medicine, 4860 Y Street, Sacramento, CA 95817, USA., Varelas PN; NeuroCritical Care Service, Neurosciences Intensive Care Unit, Departments of Neurology and Neurosurgery, Henry Ford Hospital, K-11, 2799 West Grand Boulevard, Detroit, MI 48202, USA. Electronic address: varelas@neuro.hfh.edu. |
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Jazyk: | angličtina |
Zdroj: | Neuroimaging clinics of North America [Neuroimaging Clin N Am] 2018 Nov; Vol. 28 (4), pp. 649-662. Date of Electronic Publication: 2018 Sep 15. |
DOI: | 10.1016/j.nic.2018.06.007 |
Abstrakt: | The most feared complication after acute ischemic stroke is symptomatic or asymptomatic hemorrhagic conversion. Neuroimaging and clinical criteria are used to predict development of hemorrhage. Seizures after acute ischemic stroke or stroke-like symptoms from seizures are not common but may lead to confusion in the peristroke period, especially if seizures are repetitive or evolve into status epilepticus, which could affect neuroimaging findings. Malignant infarction develops when cytotoxic edema is large enough to lead to herniation and death. Post-stroke neuroimaging prognosticators have been described and should be assessed early so that appropriate treatment is offered before herniation leads to additional tissue injury. (Copyright © 2018 Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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