POST ISCHEMIC STROKE IMAGING AND ITS CLINICAL RELEVANCE: A SYSTEMATIC REVIEW

Authors

  • Assyifa Amalia Amin Faculty of Medicine, Hasanuddin University, Indonesia Author

DOI:

https://doi.org/10.53555/nnmhs.v9i5.1682

Keywords:

Anatomy, Clinical, Imagig, Post ischemic stroke

Abstract

Stroke is a focal or global functional brain disorder that starts suddenly and lasts longer than 24 hours and is caused by changes in cerebral blood flow. It is not caused by transient cerebral circulatory abnormalities, brain tumors, or secondary strokes as a result of trauma or infection. Strokes can develop in any part of the brain. Ischemia or brain hemorrhage are also potential causes of a stroke that occurs suddenly and leads in neurologic impairments. Strokes are classified into two types: bleeding and non-bleeding. Both are potentially fatal. Several studies have found that imaging is required before treating an acute ischemic stroke. The importance of imaging after stroke treatment, on the other hand, is less obvious. Bleeding, particularly cerebral haemorrhage, is the most feared complication in people who have had acute ischemic stroke treatment. As a result, the AHA/ASA IV-tPA guidelines recommend that a non-contrast computed tomography (NCCT) brain scan be performed at least 24 hours after therapy. Non-contrast CT (NCCT) is still the cheapest, quickest, most generally available, and simplest method for diagnosing intracerebral bleeding after an ischemic stroke. However, MRI with the right sequences may be able to detect the same thing. The NCCT may frequently detect hyperdense regions following treatment for acute ischemic stroke.  Magnetic resonance imaging (MRI) is one of the most commonly used imaging methods both before and after stroke treatment due to the wealth of information it gives.  Finally, post-ischemic stroke imaging is becoming increasingly essential because it can provide both specific clinical guidance and a better knowledge of the processes that occur after such a severe impact on the brain. It may aid in the prediction of long-term outcomes and, in the future, may assist clinicians in tailoring and optimizing rehabilitation efforts for specific patients.

References

Donnan GA; Fisher M; Macleod M; et al. Stroke. Lancet. 2008;371(9624):1612–23.

Ginsberg L. Lecture Notes Neurology. Jakarta: Erlangga; 2009.

Awad IA; Chireau MV. Stroke Overview. Stroke. 2014;12(3):34–50.

Goldstein LB; Bushnell CD; Adams RJ; et al. Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011;42(2):517–84.

Catalan Society of Neurology. Official Guidelines for diagnosis and treatment. In: Cerebrovascular Diseases. 2nd ed. Societat Catalana de Neurologia. Barcelona: Societat Catalana de Neurologia; 2011. 159–240 p.

Zheng H; Cao N; Yin Y; et al. Stroke recovery and rehabilitation in 2016: a year in review of basic science and clinical science. Stroke Vasc Neurol. 2017;2(4):222–229.

Dourman K. Waspadai Stroke Usia Muda. Cermin Dunia Kedokt. 2013;

Liu J; Wang Y; Akamatsu Y; et al. Vascular remodeling after ischemic stroke: mechanisms and therapeutic potentials. Prog Neurobiol. 2014;115:138–56.

Yeo LLL, Tan BYQ, Andersson T. Review of Post Ischemic Stroke Imaging and Its Clinical Relevance. Eur J Radiol. 2017 Nov;96:145–52.

Veltkamp R, Pearce LA, Korompoki E, Sharma M, Kasner SE, Toni D, et al. Characteristics of Recurrent Ischemic Stroke After Embolic Stroke of Undetermined Source: Secondary Analysis of a Randomized Clinical Trial. JAMA Neurol. 2020 Oct;77(10):1233–40.

Portegies MLP, Selwaness M, Hofman A, Koudstaal PJ, Vernooij MW, Ikram MA. Left-sided strokes are more often recognized than right-sided strokes: the Rotterdam study. Stroke. 2015 Jan;46(1):252–4.

Rostanski SK, Kvernland A, Liberman AL, de Havenon A, Henninger N, Mac Grory B, et al. Infarct on Brain Imaging, Subsequent Ischemic Stroke, and Clopidogrel-Aspirin Efficacy: A Post Hoc Analysis of a Randomized Clinical Trial. JAMA Neurol. 2022 Mar;79(3):244–50.

Coutts SB, Moreau F, Asdaghi N, Boulanger J-M, Camden M-C, Campbell BC V, et al. Rate and Prognosis of Brain Ischemia in Patients With Lower-Risk Transient or Persistent Minor Neurologic Events. JAMA Neurol. 2019 Dec;76(12):1439–45.

Chaturvedi S, Ofner S, Baye F, Myers LJ, Phipps M, Sico JJ, et al. Have clinicians adopted the use of brain MRI for patients with TIA and minor stroke? Neurology. 2017 Jan;88(3):237–44.

Lumbantobing SM. Neurologi Klinik Pemeriksaan Fisik dan Mental. Jakarta: Balai Penerbit FKUI; 2018.

Price SA LM. Patofisiologi Konsep Klinis Proses-Proses Penyakit. Jakarta: EGC; 2016.

Dichgans M. Cognition in CADASIL. Stroke. 2009;40(3):45–7.

Adams Jr HP, Del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke. 2007;38(5):1655–711.

De Lucas EM, Sánchez E, Gutiérrez A, Mandly AG, Ruiz E, Flórez AF, et al. CT protocol for acute stroke: tips and tricks for general radiologists. Radiographics. 2008;28(6):1673–87.

Rodríguez Hernández SA, Kroon AA, van Boxtel MPJ, Mess WH, Lodder J, Jolles J, et al. Is there a side predilection for cerebrovascular disease? Hypertens (Dallas, Tex 1979). 2003 Jul;42(1):56–60.

Ntaios G, Swaminathan B, Berkowitz SD, Gagliardi RJ, Lang W, Siegler JE, et al. Efficacy and Safety of Rivaroxaban Versus Aspirin in Embolic Stroke of Undetermined Source and Carotid Atherosclerosis. Stroke. 2019 Sep;50(9):2477–85.

Manvel A, Vladimir K, Alexander T, Dmitry U. Radiologist-level stroke classification on non-contrast CT scans with deep U-Net. In: Medical Image Computing and Computer Assisted Intervention–MICCAI 2019: 22nd International Conference, Shenzhen, China, October 13–17, 2019, Proceedings, Part III 22. Springer; 2019. p. 820– 8.

Wang D, Gui L, Dong Y, Li H, Li S, Zheng H, et al. Dual antiplatelet therapy may increase the risk of non-intracranial haemorrhage in patients with minor strokes: a subgroup analysis of the CHANCE trial. Stroke Vasc Neurol. 2016 Jun;1(2):29–36.

Heo TS, Kim YS, Choi JM, Jeong YS, Seo SY, Lee JH, et al. Prediction of stroke outcome using natural language processing-based machine learning of radiology report of brain MRI. J Pers Med. 2020;10(4):286.

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Published

2023-05-19

How to Cite

Amin, A. A. (2023). POST ISCHEMIC STROKE IMAGING AND ITS CLINICAL RELEVANCE: A SYSTEMATIC REVIEW. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 9(5), 45-50. https://doi.org/10.53555/nnmhs.v9i5.1682

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