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Evidence-Based Emergency Imaging pp 91–112Cite as

Hyperacute Ischemic Stroke in Adults: Evidence-Based Emergency Imaging

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Part of the book series: Evidence-Based Imaging ((Evidence-Based Imag.))

Abstract

This chapter focuses on the imaging of hyperacute ischemic stroke patients within the first hours after stroke onset when the decisions to administer thrombolytics or perform thrombectomy are of paramount importance. The major goals of imaging during this hyperacute phase of ischemia include (1) the exclusion of intracerebral hemorrhage for thrombolysis, (2) the detection of acute ischemia in order to exclude stroke mimics, (3) emerging advanced imaging techniques to delineate ischemic but viable tissue for possible intervention beyond the current window, and (4) the imaging of pediatric acute stroke patients. The chapter provides an in-depth discussion of the literature supporting the use of specific modalities for each of the major goals listed.

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Acknowledgments

The authors would like to acknowledge the work of Dr. Weili Lin, who was a co-author with them on two chapters on imaging of acute ischemic stroke, one in Evidence-Based Neuroimaging and Diagnosis: Improving the Quality of Neuroimaging in Patients and one in Evidence-Based Imaging: Improving the Quality of Imaging in Patients, both published by Springer Science (2013 and 2011, respectively) and both edited by LS Medina et al. This current chapter draws upon those chapters, in the process of presenting thoroughly updated and significantly revised coverage of this subject for emergency imaging.

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Authors and Affiliations

  1. Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA

    Manu S. Goyal & Katie D. Vo

  2. Department of Neurology, Washington University School of Medicine, St. Louis, MO, USA

    Andria L. Ford & Jin-Moo Lee

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  1. Manu S. Goyal
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  2. Andria L. Ford
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  3. Jin-Moo Lee
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  4. Katie D. Vo
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Corresponding author

Correspondence to Manu S. Goyal .

Editor information

Editors and Affiliations

  1. Department of Radiology, Division of Cardio-Thoracic Radiology, Michigan Medicine, Ann Arbor, MI, USA

    Aine Kelly

  2. Department of Radiology, Division of Cardio-Thoracic Radiology, Michigan Medicine, Ann Arbor, MI, USA

    Paul Cronin

  3. Department of Diagnostic, Interventional, and Pediatric Radiology Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland

    Stefan Puig

  4. Department of Radiology, University of Kentucky Children’s Hospital, Lexington, KY, USA

    Kimberly E. Applegate

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Goyal, M.S., Ford, A.L., Lee, JM., Vo, K.D. (2018). Hyperacute Ischemic Stroke in Adults: Evidence-Based Emergency Imaging. In: Kelly, A., Cronin, P., Puig, S., Applegate, K. (eds) Evidence-Based Emergency Imaging. Evidence-Based Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-67066-9_8

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