CLINICAL AND RAPID AUTOMATED CT PERFUSION CHARACTERISTICS IN PATIENTS WITH ANTERIOR CIRCULATION ISCHEMIC STROKE

Huy Ngọc Nguyễn1,, Quang Ân Nguyễn2, Đức Thuần Đỗ3
1 Phu Tho Department of health
2 Phutho Medical College
3 103 Military Hospital

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Abstract

Objectives: To describe clinical characteristics, images of CT perfusion using Rapid software of ischemic strokes occurring in the anterior circulation. Subjects and methods: Including 61 patients with acute ischemic strokes admitted to the hospital within a time window of 24 hours from onset at the Stroke Center-Phu Tho Provincial General Hospital, from June 2021 to June 2022. Results: History of hypertension 67.2%, previous cerebral stroke 26.2%. Average Glasgow score: 12.8 ± 2.3ml. NIHSS mean: 14.1 ± 5.8. The mean Volume (Tmax>6s) was highest in the group of unknown onset at 73.8 ± 9.2, the mean Volume (mismatch) was greatest in carotid artery occlusion was: 65.3 ± 19.9 ml. Conclusion: The volume of pernumbra was relatively evenly distributed in the age groups and in different onset-to-door time groups. The extracranial artery occlusion group had larger volume of Tmax > 6s and penumbra volume compared to intracranial artery occlusion group.

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