Multidetector computed tomography angiography in clinically suspected hyperacute ischemic stroke in the anterior circulation: an etiological workup in a cohort of Brazilian patients
Objective The potential of computed tomography angiography (CTA) was assessed for early determination of stroke subtypes in a Brazilian cohort of patients with stroke. Method From July 2011 to July 2013, we selected patients with suspected hyperacute stroke (< 6 hours). Intracranial and cervical...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2015-05-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000500007&lng=en&tlng=en |
| _version_ | 1819259892922318848 |
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| author | Felipe Torres Pacheco Ingrid Aguiar Littig Rubens Jose Gagliardi Antônio Jose da Rocha |
| author_facet | Felipe Torres Pacheco Ingrid Aguiar Littig Rubens Jose Gagliardi Antônio Jose da Rocha |
| author_sort | Felipe Torres Pacheco |
| collection | DOAJ |
| description | Objective The potential of computed tomography angiography (CTA) was assessed for early determination of stroke subtypes in a Brazilian cohort of patients with stroke. Method From July 2011 to July 2013, we selected patients with suspected hyperacute stroke (< 6 hours). Intracranial and cervical arteries were scrutinized on CTA and their imaging features were correlated with concurrent subtype of stroke. Results Stroke was documented in 50/106 selected patients (47.2%) based on both clinical grounds and imaging follow-up (stroke group), with statistically significant arterial stenosis and vulnerable plaques on CTA. Intracranial large artery disease was demonstrated in 34% of patients in the stroke group. Partial territorial infarct prevailed (86%) while artery-to-artery embolization was the most common stroke mechanism (52%). Conclusion Multidetector CTA was useful for the etiologic work-up of hyperacute ischemic stroke and facilitated the knowledge about the topographic pattern of brain infarct in accordance with its causative mechanism. |
| first_indexed | 2024-12-23T19:17:14Z |
| format | Article |
| id | doaj.art-0115cae8baf24a1cb20698966db51ee3 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-12-23T19:17:14Z |
| publishDate | 2015-05-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-0115cae8baf24a1cb20698966db51ee32022-12-21T17:34:17ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272015-05-0173540841410.1590/0004-282X20150034S0004-282X2015000500007Multidetector computed tomography angiography in clinically suspected hyperacute ischemic stroke in the anterior circulation: an etiological workup in a cohort of Brazilian patientsFelipe Torres PachecoIngrid Aguiar LittigRubens Jose GagliardiAntônio Jose da RochaObjective The potential of computed tomography angiography (CTA) was assessed for early determination of stroke subtypes in a Brazilian cohort of patients with stroke. Method From July 2011 to July 2013, we selected patients with suspected hyperacute stroke (< 6 hours). Intracranial and cervical arteries were scrutinized on CTA and their imaging features were correlated with concurrent subtype of stroke. Results Stroke was documented in 50/106 selected patients (47.2%) based on both clinical grounds and imaging follow-up (stroke group), with statistically significant arterial stenosis and vulnerable plaques on CTA. Intracranial large artery disease was demonstrated in 34% of patients in the stroke group. Partial territorial infarct prevailed (86%) while artery-to-artery embolization was the most common stroke mechanism (52%). Conclusion Multidetector CTA was useful for the etiologic work-up of hyperacute ischemic stroke and facilitated the knowledge about the topographic pattern of brain infarct in accordance with its causative mechanism.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000500007&lng=en&tlng=entomografiaATCMacidente vascular encefálicoinfarto cerebral |
| spellingShingle | Felipe Torres Pacheco Ingrid Aguiar Littig Rubens Jose Gagliardi Antônio Jose da Rocha Multidetector computed tomography angiography in clinically suspected hyperacute ischemic stroke in the anterior circulation: an etiological workup in a cohort of Brazilian patients Arquivos de Neuro-Psiquiatria tomografia ATCM acidente vascular encefálico infarto cerebral |
| title | Multidetector computed tomography angiography in clinically suspected hyperacute ischemic stroke in the anterior circulation: an etiological workup in a cohort of Brazilian patients |
| title_full | Multidetector computed tomography angiography in clinically suspected hyperacute ischemic stroke in the anterior circulation: an etiological workup in a cohort of Brazilian patients |
| title_fullStr | Multidetector computed tomography angiography in clinically suspected hyperacute ischemic stroke in the anterior circulation: an etiological workup in a cohort of Brazilian patients |
| title_full_unstemmed | Multidetector computed tomography angiography in clinically suspected hyperacute ischemic stroke in the anterior circulation: an etiological workup in a cohort of Brazilian patients |
| title_short | Multidetector computed tomography angiography in clinically suspected hyperacute ischemic stroke in the anterior circulation: an etiological workup in a cohort of Brazilian patients |
| title_sort | multidetector computed tomography angiography in clinically suspected hyperacute ischemic stroke in the anterior circulation an etiological workup in a cohort of brazilian patients |
| topic | tomografia ATCM acidente vascular encefálico infarto cerebral |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000500007&lng=en&tlng=en |
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