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Research ArticleAdult Brain

Acute Ischemic Stroke or Epileptic Seizure? Yield of CT Perfusion in a “Code Stroke” Situation

L. Lucas, F. Gariel, P. Menegon, J. Aupy, B. Thomas, T. Tourdias, I. Sibon and P. Renou
American Journal of Neuroradiology January 2021, 42 (1) 49-56; DOI: https://doi.org/10.3174/ajnr.A6925
L. Lucas
aFrom the Department of Neurology (L.L., I.S., P.R.), Stroke Unit
dEpileptology, and Clinical Neuroscience (L.L., J.A., B.T., T.T., I.S.), University of Bordeaux, Bordeaux, France
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F. Gariel
bDepartments of Neuroradiology (F.G., B.T., T.T.)
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P. Menegon
cNeurology (??????)
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J. Aupy
dEpileptology, and Clinical Neuroscience (L.L., J.A., B.T., T.T., I.S.), University of Bordeaux, Bordeaux, France
eInstitut des Matériaux Jean Rouxel, (J.A.), Union Mutualiste Retraite, Centre national de la recherche scientifique, University of Bordeaux, Bordeaux, France
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B. Thomas
bDepartments of Neuroradiology (F.G., B.T., T.T.)
dEpileptology, and Clinical Neuroscience (L.L., J.A., B.T., T.T., I.S.), University of Bordeaux, Bordeaux, France
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T. Tourdias
bDepartments of Neuroradiology (F.G., B.T., T.T.)
dEpileptology, and Clinical Neuroscience (L.L., J.A., B.T., T.T., I.S.), University of Bordeaux, Bordeaux, France
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I. Sibon
aFrom the Department of Neurology (L.L., I.S., P.R.), Stroke Unit
dEpileptology, and Clinical Neuroscience (L.L., J.A., B.T., T.T., I.S.), University of Bordeaux, Bordeaux, France
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P. Renou
aFrom the Department of Neurology (L.L., I.S., P.R.), Stroke Unit
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References

  1. 1.↵
    1. Merino JG,
    2. Luby M,
    3. Benson RT, et al
    . Predictors of acute stroke mimics in 8187 patients referred to a stroke service. J Stroke Cerebrovasc Dis 2013;22:e397–403 doi:10.1016/j.jstrokecerebrovasdis.2013.04.018 pmid:23680681
    CrossRefPubMed
  2. 2.↵
    1. Quenardelle V,
    2. Lauer-Ober V,
    3. Zinchenko I, et al
    . Stroke mimics in a stroke care pathway based on MRI screening. Cerebrovasc Dis 2016;42:205–12 doi:10.1159/000445956 pmid:27111336
    CrossRefPubMed
  3. 3.↵
    1. Tsivgoulis G,
    2. Zand R,
    3. Katsanos AH, et al
    . Safety of intravenous thrombolysis in stroke mimics: prospective 5-year study and comprehensive meta-analysis. Stroke 2015;46:1281–87 doi:10.1161/STROKEAHA.115.009012 pmid:25791717
    Abstract/FREE Full Text
  4. 4.↵
    1. Zinkstok SM,
    2. Engelter ST,
    3. Gensicke H, et al
    . Safety of thrombolysis in stroke mimics: results from a multicenter cohort study. Stroke 2013;44:1080–84 doi:10.1161/STROKEAHA.111.000126 pmid:23444310
    Abstract/FREE Full Text
  5. 5.↵
    1. Liberman AL,
    2. Choi HJ,
    3. French DD, et al
    . Is the cost-effectiveness of stroke thrombolysis affected by proportion of stroke mimics? Stroke 2019;50:463–68 doi:10.1161/STROKEAHA.118.022857 pmid:30572813
    CrossRefPubMed
  6. 6.↵
    1. Rennert RC,
    2. Wali AR,
    3. Steinberg JA, et al
    . Epidemiology, natural history, and clinical presentation of large vessel ischemic stroke. Neurosurgery 2019;85:S4–8 doi:10.1093/neuros/nyz042 pmid:31197329
    CrossRefPubMed
  7. 7.↵
    1. Warach SJ,
    2. Luby M,
    3. Albers GW, et al
    ; Stroke Imaging Research (STIR) and VISTA-Imaging Investigators. Acute Stroke Imaging Research Roadmap III Imaging Selection and Outcomes in Acute Stroke Reperfusion Clinical Trials: Consensus Recommendations and Further Research Priorities. Stroke 2016;47:1389–98 doi:10.1161/STROKEAHA.115.012364 pmid:27073243
    Abstract/FREE Full Text
  8. 8.↵
    1. Bivard A,
    2. Levi C,
    3. Krishnamurthy V, et al
    . Perfusion computed tomography to assist decision making for stroke thrombolysis. Brain 2015;138(Pt 7):1919–31 doi:10.1093/brain/awv071 pmid:25808369
    CrossRefPubMed
  9. 9.↵
    1. Van Cauwenberge MG,
    2. Dekeyzer S,
    3. Nikoubashman O, et al
    . Can perfusion CT unmask postictal stroke mimics? A case-control study of 133 patients. Neurology 2018;91:e1918–27 doi:10.1212/WNL.0000000000006501 pmid:30333164
    Abstract/FREE Full Text
  10. 10.↵
    1. Gugger JJ,
    2. Llinas RH,
    3. Kaplan PW
    . The role of CT perfusion in the evaluation of seizures, the post-ictal state, and status epilepticus. Epilepsy Res 2020;159:106256 doi:10.1016/j.eplepsyres.2019.106256 pmid:31862478
    CrossRefPubMed
  11. 11.↵
    1. Gelfand JM,
    2. Wintermark M,
    3. Josephson SA
    . Cerebral perfusion-CT patterns following seizure. Eur J Neurol 2010;17:594–601 doi:10.1111/j.1468-1331.2009.02869.x pmid:19968701
    CrossRefPubMed
  12. 12.↵
    1. Hauf M,
    2. Slotboom J,
    3. Nirkko A, et al
    . Cortical regional hyperperfusion in nonconvulsive status epilepticus measured by dynamic brain perfusion CT. AJNR Am J Neuroradiol 2009;30:693–98 doi:10.3174/ajnr.A1456 pmid:19213823
    Abstract/FREE Full Text
  13. 13.↵
    1. Aupy J,
    2. Wongwiangjunt S,
    3. Wang ZI, et al
    . Subcortical SISCOM hyperperfusion: should we pay more attention to it? Seizure 2018;62:43–48 doi:10.1016/j.seizure.2018.09.017 pmid:30278347
    CrossRefPubMed
  14. 14.↵
    1. Lin DD,
    2. Kleinman JT,
    3. Wityk RJ, et al
    . Crossed cerebellar diaschisis in acute stroke detected by dynamic susceptibility contrast mr perfusion imaging. AJNR Am J Neuroradiol 2009;30:710–15 doi:10.3174/ajnr.A1435 pmid:19193758
    Abstract/FREE Full Text
  15. 15.↵
    1. Kidwell CS,
    2. Saver JL,
    3. Mattiello J, et al
    . Diffusion-perfusion MRI characterization of post-recanalization hyperperfusion in humans. Neurology 2001;57:2015–21 doi:10.1212/WNL.57.11.2015 pmid:1739819
    Abstract/FREE Full Text
  16. 16.↵
    1. Nelissen N,
    2. Van Paesschen W,
    3. Baete K, et al
    . Correlations of interictal FDG-PET metabolism and ictal SPECT perfusion changes in human temporal lobe epilepsy with hippocampal sclerosis. Neuroimage 2006;32:684–95 doi:10.1016/j.neuroimage.2006.04.185 pmid:16762567
    CrossRefPubMedWeb of Science
  17. 17.↵
    1. Kubiak-Balcerewicz K,
    2. Fiszer U,
    3. Nagańska E, et al
    . Differentiating stroke and seizure in acute setting-perfusion computed tomography? J Stroke Cerebrovasc Dis 2017;26:1321–27 doi:10.1016/j.jstrokecerebrovasdis.2017.02.002 pmid:28412316
    CrossRefPubMed
  18. 18.↵
    1. Engel J,
    2. Kuhl DE,
    3. Phelps ME
    . Patterns of human local cerebral glucose metabolism during epileptic seizures. Science 1982;218:64–66 doi:10.1126/science.6981843 pmid:6981843
    Abstract/FREE Full Text
  19. 19.↵
    1. Benson JC,
    2. Payabvash S,
    3. Mortazavi S, et al
    . CT perfusion in acute Lacunar stroke: detection capabilities based on infarct location. AJNR Am J Neuroradiol 2016;37:2239–34 doi:10.3174/ajnr.A4904 pmid:27538902
    Abstract/FREE Full Text
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L. Lucas, F. Gariel, P. Menegon, J. Aupy, B. Thomas, T. Tourdias, I. Sibon, P. Renou
Acute Ischemic Stroke or Epileptic Seizure? Yield of CT Perfusion in a “Code Stroke” Situation
American Journal of Neuroradiology Jan 2021, 42 (1) 49-56; DOI: 10.3174/ajnr.A6925

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Acute Ischemic Stroke or Epileptic Seizure? Yield of CT Perfusion in a “Code Stroke” Situation
L. Lucas, F. Gariel, P. Menegon, J. Aupy, B. Thomas, T. Tourdias, I. Sibon, P. Renou
American Journal of Neuroradiology Jan 2021, 42 (1) 49-56; DOI: 10.3174/ajnr.A6925
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