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CEREBRAL INFARCTION DIAGNOSIS BY COMPUTERIZED TOMOGRAPHY

ANALYSIS AND EVALUATION OF FINDINGS

KENNETH R. DAVIS M.D., JUAN M. TAVERAS M.D., PAUL F. J. NEW M.D., F.A.C.R., JAMES A. SCHNUR M.D., and GLENN H. ROBERSON M.D.

CT has been found to be of value in cerebrovascular disease. In acute infarcts, the CT (before anticoagulation) excludes intracerebral hemorrhage. The CT may not exclude small petechial hemorrhagic infarctions (with negative cerebrospinal fluid). Angiography, otherwise, is more informative, disclosing ulcerative, irregular plaques, stenosis, emboli, etc.

In old infarcts, the CT may differentiate an old infarct from a tumor in a patient with focal seizures. Angiography and radionuclide scans are less informative.

CT is a valuable investigative agent for clinico-anatomic correlation in cerebrovascular disease.


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