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Acute Cerebral Ischemia-Infarction
Anne G. Osborn, MD, FACR; Edward P. Quigley, III, MD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Stroke, cerebrovascular accident (CVA), brain attack
            • Definitions

              • Interrupted blood flow to brain resulting in cerebral ischemia/infarction with variable neurologic deficit

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        Selected References

                                        1. Audebert HJ et al: Brain imaging in acute ischemic stroke—MRI or CT? Curr Neurol Neurosci Rep. 15(3):6, 2015
                                        2. Copen WA: Multimodal imaging in acute ischemic stroke. Curr Treat Options Cardiovasc Med. 17(3):368, 2015
                                        3. Mucke J et al: Asymmetry of Deep Medullary Veins on Susceptibility Weighted MRI in Patients with Acute MCA Stroke Is Associated with Poor Outcome. PLoS One. 10(4):e0120801, 2015
                                        4. Nguyen PL et al: Stroke Mimics and Acute Stroke Evaluation: Clinical Differentiation and Complications after Intravenous Tissue Plasminogen Activator. J Emerg Med. ePub, 2015
                                        5. Wintermark M et al: International survey of acute Stroke imaging used to make revascularization treatment decisions. Int J Stroke. ePub, 2015
                                        6. Walker BS et al: Calcified Cerebral Emboli, A "Do Not Miss" Imaging Diagnosis: 22 New Cases and Review of the Literature. AJNR Am J Neuroradiol. ePub, 2014
                                        7. Zhu G et al: Computed tomography workup of patients suspected of acute ischemic stroke: perfusion computed tomography adds value compared with clinical evaluation, noncontrast computed tomography, and computed tomography angiogram in terms of predicting outcome. Stroke. 44(4):1049-55, 2013
                                        8. González RG: Clinical MRI of acute ischemic stroke. J Magn Reson Imaging. 36(2):259-71, 2012
                                        9. Nentwich LM et al: Neuroimaging in acute stroke. Emerg Med Clin North Am. 30(3):659-80, 2012
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Stroke, cerebrovascular accident (CVA), brain attack
                                                  • Definitions

                                                    • Interrupted blood flow to brain resulting in cerebral ischemia/infarction with variable neurologic deficit

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • MR Findings

                                                        • Angiographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              Selected References

                                                                              1. Audebert HJ et al: Brain imaging in acute ischemic stroke—MRI or CT? Curr Neurol Neurosci Rep. 15(3):6, 2015
                                                                              2. Copen WA: Multimodal imaging in acute ischemic stroke. Curr Treat Options Cardiovasc Med. 17(3):368, 2015
                                                                              3. Mucke J et al: Asymmetry of Deep Medullary Veins on Susceptibility Weighted MRI in Patients with Acute MCA Stroke Is Associated with Poor Outcome. PLoS One. 10(4):e0120801, 2015
                                                                              4. Nguyen PL et al: Stroke Mimics and Acute Stroke Evaluation: Clinical Differentiation and Complications after Intravenous Tissue Plasminogen Activator. J Emerg Med. ePub, 2015
                                                                              5. Wintermark M et al: International survey of acute Stroke imaging used to make revascularization treatment decisions. Int J Stroke. ePub, 2015
                                                                              6. Walker BS et al: Calcified Cerebral Emboli, A "Do Not Miss" Imaging Diagnosis: 22 New Cases and Review of the Literature. AJNR Am J Neuroradiol. ePub, 2014
                                                                              7. Zhu G et al: Computed tomography workup of patients suspected of acute ischemic stroke: perfusion computed tomography adds value compared with clinical evaluation, noncontrast computed tomography, and computed tomography angiogram in terms of predicting outcome. Stroke. 44(4):1049-55, 2013
                                                                              8. González RG: Clinical MRI of acute ischemic stroke. J Magn Reson Imaging. 36(2):259-71, 2012
                                                                              9. Nentwich LM et al: Neuroimaging in acute stroke. Emerg Med Clin North Am. 30(3):659-80, 2012