Diagnosis of Lacunar Infarcts within 6 Hours of Onset by Clinical and CT Criteria Versus MRI

The diagnosis of small deep infarcts (SDIs) based on clinical and noncontrast CT findings is often employed to triage stroke patients for emergent endovascular interventions. Few studies have evaluated the accuracy of <6 hours presentation with lacunar clinical syndromes in predicting the presence of a SDI and the absence of large vessel occlusion.

[1]  D. Darby,et al.  Examining the Lacunar Hypothesis With Diffusion and Perfusion Magnetic Resonance Imaging , 2002, Stroke.

[2]  J. Alger,et al.  Impact on stroke subtype diagnosis of early diffusion-weighted magnetic resonance imaging and magnetic resonance angiography. , 2000, Stroke.

[3]  J. Bogousslavsky,et al.  Identification of lacunar infarcts before thrombolysis in the ECASS I study , 2000, Neurology.

[4]  B. Norrving,et al.  Clinical lacunar syndromes as predictors of lacunar infarctsA comparison of acute clinical lacunar syndromes and findingson diffusion‐weighted MRI , 2000, Acta neurologica Scandinavica.

[5]  R. Higashida,et al.  Intra-arterial Prourokinase for Acute Ischemic Stroke: The PROACT II Study: A Randomized Controlled Trial , 1999 .

[6]  S. Atlas,et al.  Diffusion-weighted MRI in acute lacunar syndromes. A clinical-radiological correlation study. , 1999, Stroke.

[7]  S. Levine,et al.  Ataxic hemiparesis: critical appraisal of a lacunar syndrome. , 1998, Stroke.

[8]  R. Sacco,et al.  Testing the validity of the lacunar hypothesis , 1997, Neurology.

[9]  P. Karanjia,et al.  Accuracy of initial stroke subtype diagnosis in the TOAST study , 1995, Neurology.

[10]  J. Lodder Vascular ataxic hemiparesis: a reevaluation. , 1995, Journal of neurology, neurosurgery, and psychiatry.

[11]  D. Toni,et al.  Clinical and prognostic correlates of stroke subtype misdiagnosis within 12 hours from onset. , 1995, Stroke.

[12]  P. Maeder,et al.  Vascular ataxic hemiparesis: a re-evaluation. , 1995, Journal of neurology, neurosurgery, and psychiatry.

[13]  J. Lodder,et al.  What Causes False Clinical Prediction of Small Deep Infarcts? , 1994, Stroke.

[14]  F. Giubilei,et al.  Pure Motor Hemiparesis and Sensorimotor Stroke: Accuracy of Very Early Clinical Diagnosis of Lacunar Strokes , 1994, Stroke.

[15]  J. Kim,et al.  Pure Sensory Stroke: Clinical-Radiological Correlates of 21 Cases , 1992, Stroke.

[16]  J. Lodder,et al.  Lacunar Infarcts: Pathogenesis and Validity of the Clinical Syndromes , 1991, Stroke.

[17]  S. Atlas,et al.  Diffusion-weighted MRI in acute subcortical infarction. , 1998, Stroke.

[18]  C. Fisher Lacunar Infarcts – A Review , 1991 .