Advanced neuroimaging in acute ischemic stroke: extending the time window for treatment

被引：5

作者：

Duffis, E. Jesus ^{[1
]}

Al-Qudah, Zaid ^{[1
]}

Prestigiacomo, Charles J. ^{[1
]}

Gandhi, Chirag ^{[1
]}

机构：

[1] Univ Med & Dent New Jersey, Dept Neurol Surg, Newark, NJ 07103 USA

来源：

NEUROSURGICAL FOCUS | 2011年 / 30卷 / 06期

关键词：

stroke; neuroimaging; thrombolysis; perfusion imaging; TISSUE-PLASMINOGEN ACTIVATOR; RANDOMIZED CONTROLLED-TRIAL; ACUTE HEMISPHERIC STROKE; EARLY CT FINDINGS; THROMBOLYTIC THERAPY; INTRACEREBRAL HEMORRHAGE; INTRAVENOUS THROMBOLYSIS; COMPUTED-TOMOGRAPHY; CEREBRAL-ISCHEMIA; PERFUSION MRI;

D O I：

10.3171/2011.3.FOCUS1146

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Early treatment of ischemic stroke with thrombolytics is associated with improved outcomes, but few stroke patients receive thrombolytic treatment in part due to the 3-hour time window. Advances in neuroimaging may help to aid in the selection of patients who may still benefit from thrombolytic treatment beyond conventional time-based guidelines. In this article the authors review the available literature in support of using advanced neuroimaging to select patients for treatment beyond the 3-hour time window cutoff and explore potential applications and limitations of perfusion imaging in the treatment of acute ischemic stroke. (DOI: 10.3171/2011.3.FOCUS1146)

引用

页数：6

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