MR Perfusion-Diffusion Mismatch in Acute-Recurrent Ischemic Stroke: Quantitative and Qualitative Progression from Malignant to Misery Profile
Journal Title: Clinical Radiology & Imaging Journal - Year 2018, Vol 2, Issue 2
Abstract
We report the use magnetic resonance perfusion to image penumbra, in a patient with acute ischemic stroke as a tool to differentiate candidates for endovascular therapy. A 62-year-old man with three episodes of acute-recurrent ischemic stroke related to infective endocarditis underwent brain MRI on days 1st, 8th and 15th; his perfusion profiles evolve from malignant to misery on days 8th and 15th. Because conventional MRI is relatively insensitive to changes of acute ischemia, it should be supplemented with DWI-PWI sequences to identify patients in the hyperacute-ischemic phase that would benefit from thrombolysis.
Authors and Affiliations
Ernesto Roldan-Valadez
Keywords
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- EP ID EP565454
- DOI 10.23880/crij-16000125
- Views 47
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