- Acute Ischemic Stroke or Epileptic Seizure? Yield of CT Perfusion in a “Code Stroke” Situation
CTP patterns helped to differentiate acute ischemic stroke from epileptic seizure in a “code stroke“ situation. The results indicate that a hyperperfusion pattern, especially if not restricted to a vascular territory, may suggest reconsideration of intravenous thrombolytic therapy.
- Characteristics of Large-Vessel Occlusion Associated with COVID-19 and Ischemic Stroke
Consecutive ischemic stroke and TIA admissions (COVID and non-COVID) to the authors' hospital during a 10-week period from March 1 to May 10, 2020 were collected and compared with data from the same time period in 2019. Among 20 patients with COVID-19 and acute ischemic stroke, 15 (75%) had large-vessel occlusion. These patients were young (mean age, 46.5 years), male (93%), without major burden of traditional cardiovascular risk factors, and had a severe stroke presentation. Large vessel occlusions were observed in multiple vessels (40%), uncommonly affected vessels, and atypical locations with a large thrombus burden.
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