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Recanalization of the Embolically Occluded Middle Cerebral Artery in Acute Stroke Patients: Noninvasive Assessment and Outcome

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Abstract

The timing of spontaneous recanalization of an embolically occluded intracerebral artery is unknown, as is modification of the size of the infarction and the clinical course by the rapidity and degree of reperfusion. Most recanalized middle cerebral arteries (MCAs), after arterioarterial or cardiogenic embolic occlusions, occur within the first days [3, 5, 7, 12]. Even under favorable conditions, however, severely ischemic brain tissue can not survive longer than several hours [1, 6], and rapid recanalization of the embolically occluded brain arteries at an early time would be expected to be decisive for recovery. The quality of the leptomeningeal anastomoses, particularly during the first hours, is another important factor modifying both the size of infarction and clinical outcome [2, 11].

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© 1993 Springer-Verlag Berlin Heidelberg

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Ringelstein, E.B., Biniek, R., Ammeling, B., Nolte, P.N. (1993). Recanalization of the Embolically Occluded Middle Cerebral Artery in Acute Stroke Patients: Noninvasive Assessment and Outcome. In: del Zoppo, G.J., Mori, E., Hacke, W. (eds) Thrombolytic Therapy in Acute Ischemic Stroke II. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78061-5_27

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  • DOI: https://doi.org/10.1007/978-3-642-78061-5_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-56442-3

  • Online ISBN: 978-3-642-78061-5

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