Ischemic stroke other imaging findings: Difference between revisions

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When a stroke has been diagnosed, various other studies may be performed to determine the underlying etiology. With the current treatment and diagnosis options available, it is of particular importance to determine whether there is a peripheral source of [[embolus|emboli]]. Test selection may vary, since the cause of stroke varies with age, [[comorbidity]] and the clinical presentation. An [[angiogram]] of the cerebral vasculature (if a bleed is thought to have originated from an [[aneurysm]] or [[arteriovenous malformation]])
When a stroke has been diagnosed, various other studies may be performed to determine the underlying etiology. With the current treatment and diagnosis options available, it is of particular importance to determine whether there is a peripheral source of [[embolus|emboli]]. Test selection may vary, since the cause of stroke varies with age, [[comorbidity]] and the clinical presentation. An [[angiogram]] of the cerebral vasculature (if a bleed is thought to have originated from an [[aneurysm]] or [[arteriovenous malformation]])
==Other Imaging Studies==
==Other Imaging Studies==
Other imaging studies which may help diagnose the cause and risk factors of ischemic stroke may include:<ref name="pmid23907247">{{cite journal| author=Wintermark M, Sanelli PC, Albers GW, Bello J, Derdeyn C, Hetts SW et al.| title=Imaging recommendations for acute stroke and transient ischemic attack patients: A joint statement by the American Society of Neuroradiology, the American College of Radiology, and the Society of NeuroInterventional Surgery. | journal=AJNR Am J Neuroradiol | year= 2013 | volume= 34 | issue= 11 | pages= E117-27 | pmid=23907247 | doi=10.3174/ajnr.A3690 | pmc=4072500 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23907247  }} </ref>
===CT angiography===
*May help determine the qualitative cerebral blood flow volume to the area surrounding the infarct tissue and can determine the risk of future infarct. <ref name="pmid19797189">{{cite journal| author=Latchaw RE, Alberts MJ, Lev MH, Connors JJ, Harbaugh RE, Higashida RT et al.| title=Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association. | journal=Stroke | year= 2009 | volume= 40 | issue= 11 | pages= 3646-78 | pmid=19797189 | doi=10.1161/STROKEAHA.108.192616 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19797189  }} </ref><ref name="pmid9194426">{{cite journal| author=Shrier DA, Tanaka H, Numaguchi Y, Konno S, Patel U, Shibata D| title=CT angiography in the evaluation of acute stroke. | journal=AJNR Am J Neuroradiol | year= 1997 | volume= 18 | issue= 6 | pages= 1011-20 | pmid=9194426 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9194426  }} </ref>
*May help diagnose basilar artery thrombosis and acute large intracranial thrombosis
===MR angiography===
*May help diagnose basilar artery thrombosis and large intracranial thrombosis
===SPECT scan===e
===Digital subtraction angiography===
*May help diagnose collateral flow in cases of ischemic stroke.
*May be beneficial in diiagnosis of basilar artery thrombosis.
===Positron emission tomography===
===Arterial spin labelling===
*May help diagnose the presence of collateral blood flow
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 20:16, 15 November 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

When a stroke has been diagnosed, various other studies may be performed to determine the underlying etiology. With the current treatment and diagnosis options available, it is of particular importance to determine whether there is a peripheral source of emboli. Test selection may vary, since the cause of stroke varies with age, comorbidity and the clinical presentation. An angiogram of the cerebral vasculature (if a bleed is thought to have originated from an aneurysm or arteriovenous malformation)

Other Imaging Studies

Other imaging studies which may help diagnose the cause and risk factors of ischemic stroke may include:[1]

CT angiography

  • May help determine the qualitative cerebral blood flow volume to the area surrounding the infarct tissue and can determine the risk of future infarct. [2][3]
  • May help diagnose basilar artery thrombosis and acute large intracranial thrombosis

MR angiography

  • May help diagnose basilar artery thrombosis and large intracranial thrombosis

===SPECT scan===e

Digital subtraction angiography

  • May help diagnose collateral flow in cases of ischemic stroke.
  • May be beneficial in diiagnosis of basilar artery thrombosis.

Positron emission tomography

Arterial spin labelling

  • May help diagnose the presence of collateral blood flow

References

  1. Wintermark M, Sanelli PC, Albers GW, Bello J, Derdeyn C, Hetts SW; et al. (2013). "Imaging recommendations for acute stroke and transient ischemic attack patients: A joint statement by the American Society of Neuroradiology, the American College of Radiology, and the Society of NeuroInterventional Surgery". AJNR Am J Neuroradiol. 34 (11): E117–27. doi:10.3174/ajnr.A3690. PMC 4072500. PMID 23907247.
  2. Latchaw RE, Alberts MJ, Lev MH, Connors JJ, Harbaugh RE, Higashida RT; et al. (2009). "Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association". Stroke. 40 (11): 3646–78. doi:10.1161/STROKEAHA.108.192616. PMID 19797189.
  3. Shrier DA, Tanaka H, Numaguchi Y, Konno S, Patel U, Shibata D (1997). "CT angiography in the evaluation of acute stroke". AJNR Am J Neuroradiol. 18 (6): 1011–20. PMID 9194426.


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