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Abstract Acute Stroke is defined as a heterogeneous neurological syndrome caused by multiple disease mechanisms all of which result in disruption of cerebral blood flow with wide range of neurological deficit. It is the second leading cause of death and the third leading cause of disability universally. It’s a major health problem that is seen to impart a fundamental burden on patients, healthcare systems, and society. This study aimed at studying the role of susceptibility weighted magnetic resonance imaging in diagnosis of acute stroke patients. The study included 21 acute stroke patients, presented by a wide range of neurological deficit with a mean pre-diagnostic time interval of 5.7 hours, mean NIHSS score of 9, and a mean age of 55 years ; 11 females and 10 males who had all been subjected to: o Full history taking. o Thorough clinical examination. o Conventional MRI study of the brain. o Susceptibility-weighted imaging of the brain. MRI examinations were performed on a 3Tesla General Electric (GE) machine with conventional sequences including 2D axial T1, axial T2, axial FLAIR, DWI and axial SWI. Conventional MRI detected acute stroke insults of variable sizes and locations among the studied patients, with both anterior and posterior cerebral arterial territories affected, (81%) of cases presented with anterior circulation affection while (19%) presented with posterior circulation affection. |