Acta clinica Croatica, Vol. 45 No. 4, 2006.
Recenzija, Prikaz slučaja
Neuroimaging Techniques . Improving Diagnostic and Therapeutic Options in Acute Stroke
Vlasta Vuković
Carlos A Molina
Mark Ribo
Arijana Lovrenčić-Huzjan
Mislav Budišić
Vida Demarin
Sažetak
Transcranial Doppler (TCD) has been in use for over 20 years, mainly as a diagnostic tool to assess intracranial hemodynamics in basal arteries. Recently, TCD has been used as a combined diagnostic and therapeutic tool in the assessment of acute stroke. The combination of TCD and extracranial Doppler may help in the selection of patients that require more aggressive therapeutic approach. Furthermore, neurovascular ultrasound in combination with other imaging techniques such as magnetic resonance imaging (MRI) and computed tomography with specially developed imaging possibilities (DWI and PWI in MRI) may allow for better patient selection for rt-PA treatment, especially in cases where the time window has passed 3 hours, which is one of the criteria for treatment with rt-PA in acute stroke according to the worldwide accepted recommendations based on clinical trials so far. This article presents up-to-date experience with the use of multimodal techniques in acute stroke treatment.
Ključne riječi
Cerebrovascular accident - diagnosis; Cerebrovascular accident - ultrasonography; Brain ischemia - diagnosis; Brain ischemia - physiopathology
Hrčak ID:
14073
URI
Datum izdavanja:
1.12.2006.
Posjeta: 1.553 *