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DWI and acute stroke prognosis: a simple approach

Correspondence to:
Correspondence to:
V Di Piero
Department of Neurology, viale dell’Università 30, Rome 00185, Italy; vittorio.dipiero@uniroma1.it

Keywords: acute stroke; diffusion weighted imaging; stroke recurrence

The first 150 words of the full text of this article appear below.

In the paper by Bang et al in this issue (see pages 1222–8), the authors deal with the possibility of predicting clinical outcome in stroke patients by considering the diffusion weighted imaging (DWI) lesion patterns. This is a new approach to MRI findings which gives more emphasis to the location of DWI alterations than to their volume or number.

Although thrombolysis is the most effective treatment for acute stroke, it is still limited to a few patients because of its strict temporal therapeutic window. It follows that most therapeutic efforts are devoted to controlling the neurologic and medical complications. Therefore, early identification of patients at high risk of complications could potentially help to differentiate acute stroke therapies by selecting those patients who should be monitored and treated more aggressively. Early identification could also thus help to allocate medical resources better.

A simple evaluation of the . . . [Full text of this article]

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Specific DWI lesion patterns predict prognosis after acute ischaemic stroke within the MCA territory

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J. Neurol. Neurosurg. Psychiatry 2005 76: 1222-1228. [Abstract] [Full Text] [PDF]