<< Four Evolving Strategies In The Emergent Treatment Of Acute Ischemic Stroke (Stroke CME)

Section II: The Use Of Multimodal Computed Tomography In Acute Stroke Imaging

The conventional ED acute stroke protocol calls for rapid patient assessment, determination of serum glucose, and expedited emergent neuroimaging. Well-established by the NINDS Study Group and multiple subsequent recommendations by the American Stroke Association, the initial imaging modality of choice since the advent of thrombolytic therapy for stroke has been an immediate noncontrasted CT scan of the head.29,30 While the primary function of noncontrasted head CT is to make the critical distinction between acute hemorrhagic and acute ischemic stroke, early indicators of cerebral ischemia such as loss of the insular ribbon31 or obscuration of the lentiform nucleus32 may also be observed.

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