CT Perfusion Imaging Guides Clinical Decision-Making in a Case of Thalamic Stroke: A Case Report

被引：0
|
作者：
Qaiser, Alisha [1 ]
Lozano, Daniela [1 ]
Liquigli, Nicholas [1 ]
Qureshi, Kasim [1 ]
Farooq, Muhammad [2 ]
机构：
[1] Trinity Hlth St Marys Grand Rapids, Neurol, Grand Rapids, MI 49503 USA
[2] Trinity Hlth St Marys Grand Rapids, Vasc Neurol, Grand Rapids, MI USA
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 09期
关键词：
Categories; Neurology artery of percheron infract; case report; cerebrovascular disease; ct brain perfusion; neuroimaging; vascular neurology; stroke; ARTERY;
D O I：
10.7759/cureus.44846
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
This case highlights a patient presenting with a stroke code in the emergency department with decreased consciousness. The patient was later found to have bilateral thalamic strokes due to ischemia of the artery of Percheron. Initial head computed tomography (CT) and CT angiogram (CTA) of the head and neck showed no abnormalities. CT perfusion (CTP) showed a perfusion deficit of 169 mL with a T-max greater than 4 s and 4 mL with a T-max greater than 6 s in the posterior circulation. The patient received IV alteplase. This case report emphasizes the importance of perfusion neuroimaging in the evaluation of acute ischemic stroke.
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页数：5
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