10-Point CT-ASPECTS-based reperfusion therapy for unknown onset stroke

Che Cheng Chang, Hsu Ling Yeh, Chen Yu Hsiao, Li Ming Lien

研究成果: 雜誌貢獻文章

1 引文 (Scopus)

摘要

Under the time-based criteria, patients with unknown onset stroke (UOS) are ineligible for reperfusion therapies. However, previous studies suggest that some patients with UOS may benefit from reperfusion. Several imaging modalities have been suggested to select patients for intervention, but the optimal imaging criteria are still controversial. Herein we present a series of four cases using 10-point CT-ASPECTS to support our decision of reperfusion therapy. We decided based on history, symptoms, and the 10-point CT-ASPECTS alone. Each patient's history suggested that the stroke just took place. All four patients had apparent clinical symptoms, with 10-point CT-ASPECTS. All of them had a reduction in their NIHSS after the reperfusion therapy. 10-point CT-ASPECTS could be used to support the presumption that the stroke just happens in patients with UOS. Further study is warranted to elucidate the value of CT-ASPECTS for UOS patients.

指紋

Reperfusion
Stroke
Therapeutics
History

ASJC Scopus subject areas

  • Medicine(all)

引用此文

10-Point CT-ASPECTS-based reperfusion therapy for unknown onset stroke. / Chang, Che Cheng; Yeh, Hsu Ling; Hsiao, Chen Yu; Lien, Li Ming.

於: Journal of the Formosan Medical Association, 2018.

研究成果: 雜誌貢獻文章

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abstract = "Under the time-based criteria, patients with unknown onset stroke (UOS) are ineligible for reperfusion therapies. However, previous studies suggest that some patients with UOS may benefit from reperfusion. Several imaging modalities have been suggested to select patients for intervention, but the optimal imaging criteria are still controversial. Herein we present a series of four cases using 10-point CT-ASPECTS to support our decision of reperfusion therapy. We decided based on history, symptoms, and the 10-point CT-ASPECTS alone. Each patient's history suggested that the stroke just took place. All four patients had apparent clinical symptoms, with 10-point CT-ASPECTS. All of them had a reduction in their NIHSS after the reperfusion therapy. 10-point CT-ASPECTS could be used to support the presumption that the stroke just happens in patients with UOS. Further study is warranted to elucidate the value of CT-ASPECTS for UOS patients.",
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