CT identifies patients in stroke treatment windowCreated by:
The link to the article: http://www.nature.com/nrneurol/journal/vaop/ncurrent/full/nrneurol.2016.184.html
*For some reason I cannot share it through the share link button*
Timing is very crucial to the administration of intravenous thrombolysis. One caveat to following the standard guideline of giving intravenous thrombolysis within the 4.5 hr period is the lack of an objective measure that detects onset. At present CT scans and MRIs are limited to identifying if there is vascular compromise, the location of such, and if there is a compressive effect to the surrounding neural tissue. I think that if this form of treatment will be available, the it will help determine patients who are indeed eligible for intravenous thrombolysis. Moreso, another multicenter study can be done utilizing this technology to improve current guidelines, since these guidelines are also based on nonobjective parameters when it comes to determining stroke ictus. Do you follow a similar guideline in your local practice?