Perfusion CT helps decision making for thrombolysis when there is no clear time of onset
| Autor: | Diana J. Day, Hellier Kd, Hampton Jl, Jonathan H. Gillard, Joseph V. Guadagno, Elizabeth A. Warburton, Jean-Claude Baron, Nagui M. Antoun, Higgins Np |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Short Report Infarction Basal Ganglia Decision Support Techniques Stroke onset Text mining Image Processing Computer-Assisted Humans Medicine Thrombolytic Therapy Stroke Aged Thrombectomy medicine.diagnostic_test business.industry Brain Infarction Middle Cerebral Artery Thrombolysis Middle Aged Prognosis medicine.disease Cerebral Angiography Surgery Psychiatry and Mental health Regional Blood Flow Post stroke Female Neurology (clinical) Radiology business Perfusion Blood Flow Velocity Cerebral angiography |
| Zdroj: | Journal of Neurology, Neurosurgery & Psychiatry. 77:417-419 |
| ISSN: | 0022-3050 |
| DOI: | 10.1136/jnnp.2005.067363 |
| Popis: | Current guidelines on thrombolysis post stroke with recombinant tissue plasminogen activator (rt‐PA) exclude its use where time of onset is unknown, thus denying some patients potentially beneficial treatment. Contrast enhanced perfusion computed tomography (pCT) imaging can be used together with plain CT and information on clinical deficits to decide whether or not thrombolysis should be initiated even though the exact time of stroke onset is unknown. Based on the results of pCT and CT, rt‐PA was administered to two patients with unknown time of stroke onset; one of the patients also underwent suction thrombectomy. Results in both cases were excellent. |
| Databáze: | OpenAIRE |
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