Abstract:Computer assisted axial tomography was performed in 32 patients with clinically possible cerebrovascular lesions. Decreased absorption as a sign of infarction was found in 15, increased absorption as a sign of hemorrhage in 7 cases. In another 7 cases, diagnosed as hemorrhagic infarction, a simultaneous occurrence of increased and decreased absorption appeared. Increased absorption might also depend on compression effect of edema. In three cases no abnormal attenuation could be demonstrated. Infarctions could … Show more
“…The central place in diagnosis and management of acute ischemic stroke (AIS) to date, has non-contrast computed tomography (NCCT) (9,19). At the beginning, CT was used for brain imaging and thus, it found place in cerebrovascular diagnostics (20)(21)(22). Its use is widespread and also short scan time, noninvasiveness and safety, make it the first-line in imaging of acute ischemic stroke (9,10).…”
Section: The Role Of Computed Tomography In Imaging Of Acute Ischemicmentioning
“…The central place in diagnosis and management of acute ischemic stroke (AIS) to date, has non-contrast computed tomography (NCCT) (9,19). At the beginning, CT was used for brain imaging and thus, it found place in cerebrovascular diagnostics (20)(21)(22). Its use is widespread and also short scan time, noninvasiveness and safety, make it the first-line in imaging of acute ischemic stroke (9,10).…”
Section: The Role Of Computed Tomography In Imaging Of Acute Ischemicmentioning
“…Grumme, S. Lange, W. Meese Findet sich eine Kombination von unscharf begrenzten Zonen verminderter und vermehrter Dichte (Abb. 3 a), so muß eine Durchblutungsstörung mit hämorrhagischer Infarcierung angenommen werden (7,28).…”
Section: Besprechungunclassified
“…Die axiale Computer-Tomographie erlaubt in vielen Fällen eine exakte differentialdiagnostische Aufhellung der zum Schlaganfall führenden Faktoren (2, 4, 7,8,12,16,17,19,22,23,26). Teilverschlüsse im Bereich der Arteria cerebri media.…”
Computertomography permits an early diagnosis of acute intracerebral hemorrhage a few hours after onset of symptoms. Embolic or thrombotic infarcts may be detected only after 2 to 3 days. Late manifestations of ischemic infarcts are unequivocal when confined to the circulation area of a cerebral artery. They must, however, be differentiated from small gliomas with edema, while in cerebral hemorrhage the differential diagnosis must consider bleeding from tumors and vascular malformations.
“…Computed tomography (CT) in cerebrovascular lesions allows the differentiation between cerebral infarction and recent haemorrhage with a high degree of precision, as well as assessment of the location, extent and topographic relations of a lesion ( Ambrose 1973, Scott et al 1974, Cronqvist et al 1975, Lukin et al 1977.…”
In 69 patients with supratentorial cerebral infarction findings at computed tomography (CT) were related to clinical state on admission and course of recovery. In patients with initial disability of slight to moderate degree CT did not provide prognostically useful information; in patients with severe symptoms at onset location of lesion to the internal capsule or the right parietal lobe and the presence of a mass effect, as single factors or in combination, were ominous CT indicators in terms of functional recovery.
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