Evaluation and evolution of Stroke

Statistics

Mr. F

Mr. F cont’d

Initial Evaluation

Differential diagnosis

Visual anatomy

Speech areas

Cerebrovascular Anatomy

Cerebrovascular territories

CT or MRI first?

Initial CT

T1-MRI

T2-MRI

FLAIR

MRA

Initial DW-MRI

Water is the key

PW-MRI

PW-DW Mismatch

T2 - now and then

The BIG Picture

tPA considerations?

Possible algorithm

What the result?

Summary

References

Acknowledgments