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[Early CT changes in acute cerebral infarction].

J Hordnes1, L Thomassen, U Waje-Andreassen

  • 1Nevrologisk avdeling, Haukeland Sykehus 5021 Bergen. juda@haukeland.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|September 27, 2001
PubMed
Summary

Early neurological exams in acute stroke patients do not reliably predict computed tomography (CT) scan results. CT scans are more informative for assessing ischemic damage in the acute phase.

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Area of Science:

  • Neurology
  • Radiology

Background:

  • Acute stroke assessment is critical for timely intervention.
  • Evaluating early clinical and imaging findings aids in understanding ischemic damage.

Purpose of the Study:

  • To correlate neurological clinical findings with cerebral computed tomography (CT) findings in acute stroke patients.
  • To assess the utility of early CT scans in identifying ischemic damage within six hours of stroke onset.

Main Methods:

  • 42 patients with presumed middle cerebral artery territory stroke were evaluated.
  • Clinical assessment used the Scandinavian Stroke Scale Score.
  • Cerebral CT scans were analyzed by a neuroradiologist.

Main Results:

  • Clinical deficit severity did not consistently predict CT findings.

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  • Patients with more extensive early CT signs of ischemia had lower clinical scores.
  • Insular hypodensity was the most common CT finding.

    • Conclusions:

    • Clinical findings alone provide limited information on acute ischemic damage.
    • CT scans offer valuable insights, particularly when positive findings are present.