Brain magnetic resonance imaging in the evaluation of lacunar stroke.
Author(s) -
John F. Rothrock,
Patrick D. Lyden,
John R. Hesselink,
Justin Brown,
M E Healy
Publication year - 1987
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.18.4.781
Subject(s) - medicine , magnetic resonance imaging , lacunar stroke , radiology , stroke (engine) , neuroimaging , infarction , brain infarction , computed tomography , lacunar infarction , cerebral infarction , ischemic stroke , ischemia , cardiology , myocardial infarction , mechanical engineering , psychiatry , engineering
Thirty-one patients with presumed lacunar stroke, recent (18 patients) or remote (13 patients), were evaluated with brain magnetic resonance imaging (MRI). MRI detected small, deep lesions appropriate to symptoms in 23 of the patients (74%) and was diagnostically superior to brain computed tomography (CT) in those cases where both studies were obtained acutely. MRI also appeared useful in distinguishing between acute and chronic ischemic lesions. Especially in the setting of suspected acute lacunar infarction, MRI, when available, should replace CT as the diagnostic imaging procedure of choice.
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