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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 and brain attack
                • Not diagnosis; terms for sudden onset of neurologic deficit
            • Definitions

              • Interrupted blood flow to brain resulting in cerebral ischemia/infarction

            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. Aoki J et al: Negative-FLAIR vascular hyperintensities serve as a marker of no recanalization during hospitalization in acute stroke. J Clin Neurosci. 72:233-7, 2020
                                        2. Atchaneeyasakul K et al: Impact of MRI selection on triage of endovascular therapy in acute ischemic stroke: the mri in acute management of ischemic stroke (MIAMIS) registry. Interv Neurol. 8(2-6):135-43, 2020
                                        3. Atchaneeyasakul K et al: Thrombectomy outcomes in acute ischemic stroke due to middle cerebral artery M2 occlusion with stent retriever versus aspiration: a multicenter experience. Interv Neurol. 8(2-6):180-6, 2020
                                        4. Broocks G et al: Incomplete or failed thrombectomy in acute stroke patients with ASPECTS 0-5 - how harmful is trying? Eur J Neurol. ePub, 2020
                                        5. Dhand S et al: Acute ischemic stroke: acute management and selection for endovascular therapy. Semin Intervent Radiol. 37(2):109-18, 2020
                                        6. Miao J et al: Predictors of malignant cerebral edema in cerebral artery infarction: a meta-analysis. J Neurol Sci. 409:116607, 2020
                                        7. Patel P et al: Hyperacute management of ischemic strokes: JACC Focus Seminar. J Am Coll Cardiol. 75(15):1844-56, 2020
                                        8. Sakamoto Y et al: Reducing door-to-reperfusion time in acute stroke endovascular therapy using magnetic resonance imaging as a screening modality. J Neurointerv Surg. ePub, 2020
                                        9. Heit JJ et al: Perfusion computed tomography in acute ischemic stroke. Radiol Clin North Am. 57(6):1109-16, 2019
                                        10. Zhang M et al: Characteristics of cerebral perfusion and diffusion associated with crossed cerebellar diaschisis after acute ischemic stroke. Jpn J Radiol. 38(2):126-34, 2019
                                        11. Martins N et al: Ghost infarct core and admission computed tomography perfusion: redefining the role of neuroimaging in acute ischemic stroke. Interv Neurol. 7(6):513-21, 2018
                                        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 and brain attack
                                                      • Not diagnosis; terms for sudden onset of neurologic deficit
                                                  • Definitions

                                                    • Interrupted blood flow to brain resulting in cerebral ischemia/infarction

                                                  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. Aoki J et al: Negative-FLAIR vascular hyperintensities serve as a marker of no recanalization during hospitalization in acute stroke. J Clin Neurosci. 72:233-7, 2020
                                                                              2. Atchaneeyasakul K et al: Impact of MRI selection on triage of endovascular therapy in acute ischemic stroke: the mri in acute management of ischemic stroke (MIAMIS) registry. Interv Neurol. 8(2-6):135-43, 2020
                                                                              3. Atchaneeyasakul K et al: Thrombectomy outcomes in acute ischemic stroke due to middle cerebral artery M2 occlusion with stent retriever versus aspiration: a multicenter experience. Interv Neurol. 8(2-6):180-6, 2020
                                                                              4. Broocks G et al: Incomplete or failed thrombectomy in acute stroke patients with ASPECTS 0-5 - how harmful is trying? Eur J Neurol. ePub, 2020
                                                                              5. Dhand S et al: Acute ischemic stroke: acute management and selection for endovascular therapy. Semin Intervent Radiol. 37(2):109-18, 2020
                                                                              6. Miao J et al: Predictors of malignant cerebral edema in cerebral artery infarction: a meta-analysis. J Neurol Sci. 409:116607, 2020
                                                                              7. Patel P et al: Hyperacute management of ischemic strokes: JACC Focus Seminar. J Am Coll Cardiol. 75(15):1844-56, 2020
                                                                              8. Sakamoto Y et al: Reducing door-to-reperfusion time in acute stroke endovascular therapy using magnetic resonance imaging as a screening modality. J Neurointerv Surg. ePub, 2020
                                                                              9. Heit JJ et al: Perfusion computed tomography in acute ischemic stroke. Radiol Clin North Am. 57(6):1109-16, 2019
                                                                              10. Zhang M et al: Characteristics of cerebral perfusion and diffusion associated with crossed cerebellar diaschisis after acute ischemic stroke. Jpn J Radiol. 38(2):126-34, 2019
                                                                              11. Martins N et al: Ghost infarct core and admission computed tomography perfusion: redefining the role of neuroimaging in acute ischemic stroke. Interv Neurol. 7(6):513-21, 2018