What to Look for on Post-stroke Neuroimaging
Katramados AM, Hacein-Bey L, and Varelas PN. What to look for on post-stroke neuroimaging. Neuroimaging Clin N Am 2018; 28(4):649-662.
Neuroimaging clinics of North America
The most feared complication after acute ischemic stroke is symptomatic or asymptomatic hemorrhagic conversion. Neuroimaging and clinical criteria are used to predict development of hemorrhage. Seizures after acute ischemic stroke or stroke-like symptoms from seizures are not common but may lead to confusion in the peristroke period, especially if seizures are repetitive or evolve into status epilepticus, which could affect neuroimaging findings. Malignant infarction develops when cytotoxic edema is large enough to lead to herniation and death. Post-stroke neuroimaging prognosticators have been described and should be assessed early so that appropriate treatment is offered before herniation leads to additional tissue injury.
Medical Subject Headings
Brain; Brain Ischemia; Cerebral Hemorrhage; Diagnostic Imaging; Edema; Humans; Neuroimaging; Risk Factors; Stroke