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Research Article
Rapid Short MRI Sequence Useful in Eliminating Stroke Mimics Among Acute Stroke Patients Considered for Intravenous Thrombolysis
Author(s): Stephanie Paolini, Joselyn Burdine, Michael Verenes, James Webster, Theodore Faber, Cole Blease Graham and Souvik SenStephanie Paolini, Joselyn Burdine, Michael Verenes, James Webster, Theodore Faber, Cole Blease Graham and Souvik Sen
Background: Acute stroke teams are challenged by IV-tPA decision making in patients with acute neurological symptoms when the diagnosis is unclear. The purpose of this study was to evaluate the ability of the rapid Brain Attack Team (BAT) MRI in selecting patients for IV-tPA administration who present acutely to the emergency room with strokelike symptoms and an unclear diagnosis.
Methods: Consecutive patients were identified who presented within 4.5 hours of onset of stroke-like symptoms and considered for treatment with IV-tPA. When the diagnosis was not clear, a 9-minute BAT MRI was obtained. Stroke risk factors and NIH stroke scale obtained on presentation were compared between patients in whom BAT MRI was obtained and those in whom BAT MRI was not obtained. Similarly, comparisons were made between patients in whom BAT MRI detected abnorma.. Read More»
DOI:
10.4172/2329-6895.1000137
Neurological Disorders received 1343 citations as per Google Scholar report