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Related Concept Videos

Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...

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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Stroke vs. status epilepticus. A case report utilizing CT perfusion.

Vladimir Royter1, Laurie Paletz, Michael F Waters

  • 1Cedars-Sinai Medical Center, Los Angeles, CA, USA. vladimir.royter@cshs.org

Journal of the Neurological Sciences
|October 20, 2007
PubMed
Summary

Differentiating strokes from seizures can be difficult. This case highlights how CT-perfusion and EEG confirmed status epilepticus (epileptic seizures) in a patient initially evaluated for ischemic stroke.

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Optimized System for Cerebral Perfusion Monitoring in the Rat Stroke Model of Intraluminal Middle Cerebral Artery Occlusion
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Optimized System for Cerebral Perfusion Monitoring in the Rat Stroke Model of Intraluminal Middle Cerebral Artery Occlusion

Published on: February 17, 2013

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Last Updated: Jul 10, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Optimized System for Cerebral Perfusion Monitoring in the Rat Stroke Model of Intraluminal Middle Cerebral Artery Occlusion
12:15

Optimized System for Cerebral Perfusion Monitoring in the Rat Stroke Model of Intraluminal Middle Cerebral Artery Occlusion

Published on: February 17, 2013

Area of Science:

  • Neurology
  • Neuroimaging
  • Neurophysiology

Background:

  • Distinguishing between acute ischemic stroke and seizures is clinically challenging due to overlapping symptoms.
  • Prompt and accurate diagnosis is crucial for appropriate treatment and patient outcomes.

Observation:

  • A patient presented with symptoms concerning for acute ischemic stroke.
  • Initial clinical presentation mimicked cerebrovascular events.

Findings:

  • Computed tomography (CT) perfusion imaging was utilized to assess blood flow in the brain.
  • Electroencephalography (EEG) confirmed the presence of non-convulsive status epilepticus.
  • The diagnostic workup successfully differentiated between stroke and seizure activity.

Implications:

  • This case underscores the importance of advanced neuroimaging and electrophysiological studies in complex neurological presentations.
  • Utilizing CT-perfusion and EEG can aid in the accurate diagnosis of status epilepticus, even when stroke is suspected.
  • Improved diagnostic strategies can lead to timely and targeted therapeutic interventions for seizure disorders.