Published in:
01-05-2010 | Intervention to treat and prevent stroke
Poor clinical outcome despite successful arterial recanalization. What went wrong? How can we do better?
Author:
Mayank Goyal
Published in:
Neuroradiology
|
Issue 5/2010
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Excerpt
In the treatment of hyperacute ischemic stroke, there is consensus regarding 1. Time is brain 2. Early recanalization helps [
1]. It is also well known that, surrounding the core of infarcted brain, there is often salvageable tissue also known as penumbra. While there continues to be ongoing discussion regarding the best imaging modality to document the penumbra and use it to guide therapy, it is clear that penumbra is a dynamic state dependent on several factors [
2]. Hence, any imaging modality even if perfectly accurate would document the state of penumbra at that instant and would not allow precise extrapolation into the future. …