Early CT diagnosis of hemispheric brain infarction
CT signs of early cerebral infarction are subtle within the first 6 hours after symptom onset, but important to recognize. The CT reading panel of ECASS wants to share its experience by publishing this series of early CT scans from study patients in order to improve early recognition of ischemic infarction by CT and thus to improve patient care, and to provide material for practice. In this book each CT scan can be read with and without neuroradiological description. Follow-up scans of each case confirm early findings.
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90 days AJNR angiography arm and hand artery sign HMCAS basal ganglia Bastianello bedridden blood flow Bozzao Brain Infarction brain tissue cerebral artery sign cerebral infarction cerebral ischemia clinical deterioration completely disorientated computed tomography days after stroke Discussion of patient early CT signs Effacement external capsule facial palsy falx cerebri focal brain swelling following treatment frontal and temporal gaze palsy Gray matter hypodensity h after stroke hemorrhagic transformation hyperdense middle cerebral hypodense areas initial CT insular cortex insular ribbon internal carotid artery interval ischemic stroke Kummer lentiform nucleus lobe Marked hypodensity mass effect MCA occlusion MCA trunk middle cerebral artery midline structures neurological deficit Neuroradiological findings onset of symptoms pallidum paralysis of arm Patient 17 patients with MCA putamen Second CT scan shift of midline slice thickness slight hypodensity Somnolent strength in leg sulci symptom onset therapy tissue volume treatment with placebo treatment with rt-PA ventricles walk with help white matter