DWI-FLAIR Mismatch in Stroke: “P.S.” (Partial Strategic Concept) for Clinical Practice

Recent studies have shown that diffusion-weighted imaging (DWI) and fluid-attenuated inversion recovery (FLAIR) MRI (DWI-FLAIR) mismatch is useful for thrombolytic treatment decisions in acute ischemic stroke. However, the role of partial mismatch in strategic locations among patients with evolving...

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Bibliographic Details
Published in:	Journal of stroke medicine Vol. 5; no. 2; pp. 139 - 142
Main Authors:	Nedunchelian, Meena, Varadharajan, Shriram, G, Parvathy, Iyer, Rajesh Shankar, Cherian, Mathew, Mehta, Pankaj, Poyyamoli, Santosh, MA, Karthikeyan, Nikhil, H. R.
Format:	Journal Article
Language:	English
Published:	New Delhi, India SAGE Publications 01-12-2022 SAGE PUBLICATIONS, INC
Subjects:	Neuroimaging Stroke Thrombolytic drugs extended windows intravenous thrombolysis MRI stroke DWI-FLAIR mismatch
Online Access:	Get full text
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Summary:	Recent studies have shown that diffusion-weighted imaging (DWI) and fluid-attenuated inversion recovery (FLAIR) MRI (DWI-FLAIR) mismatch is useful for thrombolytic treatment decisions in acute ischemic stroke. However, the role of partial mismatch in strategic locations among patients with evolving stroke has not been described before. Partial imaging mismatch involving strategic locations might indicate reversible ischemia, enabling thrombolysis even in those patients presenting in the extended time windows. In this report, we describe the partial strategic concept of DWI-FLAIR mismatch with case examples.
ISSN:	2516-6085 2516-6093
DOI:	10.1177/25166085221122393