More articles from Brain
- Early Reperfusion Rates with IV tPA Are Determined by CTA Clot Characteristics
These authors evaluated CTA studies of 228 patients paying special attention to the clot features, and correlated these features with early reperfusion rates. Clot features that predicted successful early reperfusion included: shorter clot, residual flow within the clot, and distal location. Reperfusion was achieved in only 8% of patients with longer and proximal clots and in those without residual flow.
- Preoperative Prognostic Value of MRI Findings in 108 Patients with Idiopathic Normal Pressure Hydrocephalus
MRI studies in 108 patients with idiopathic intracranial hypertension were reviewed. Findings that aided in the selection of candidates for shunt placement and predicted a positive postsurgical outcome included a small callosal angle, wide temporal horns, and disproportionately enlarged subarachnoid spaces.
- Susceptibility-Diffusion Mismatch Predicts Thrombolytic Outcomes: A Retrospective Cohort Study
The benefit of thrombolytic therapy was assessed in 54 patients with a mismatch between infarct core as seen on DWI and penumbra as seen on SWI. Favorable outcomes were significantly higher in patients with DWI-SWI mismatch than in those without it. The accuracy of the DWI-SWI mismatch for predicting good outcome was higher than that for the more traditional DWI-perfusion mismatch.
- Leukoaraiosis Predicts a Poor 90-Day Outcome after Endovascular Stroke Therapy
The authors explored the relationship between white matter changes and outcome in 129 patients who received endovascular therapy for acute stroke. Severe white matter changes were associated with poor outcomes at 90 days. Those who survived and had pre-existing severe white matter changes also showed significantly less improvement.