Imaging strategy for acute stroke patients, a review of literature

Background: This review article focused on the utilization and impact of current neuroimaging techniques for patient with acute stroke, emphasizing how imaging builds upon clinical assessment to establish diagnosis or etiology guide therapeutic decisions. When requesting examinations in patients stroke symptoms; it is crucial evaluate four significant parameters stroke; parenchyma, vessels, perfusion, penumbra. Evaluation all these parameters, their right request are essential grasp explanation potential therapy decisions a specific patient. Extensive neurovascular conventions utilizing multimodality CT (NCCT, Angiography, Perfusion) MRI (DWI-perfusion mismatch DWI-FLAIR mismatch, MR Angiography) might be utilized provide needed data treatment them inside minutes after lands at emergency clinic. Using this approach will help discriminate between hemorrhagic ischemic as presence frank intracerebral hemorrhage contraindicates reperfusion treatment, permits choice large vessel occlusion endovascular answer important “tissue clock” within 6 hours from symptom even late-presenting (> h) wake-up stroke. Conclusions: As cerebral critically ill, initial scanning should constrained procurement useful only, considering accessible options given place any time.