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The Cortical Ischemic Core and Not the consistently Present Penumbra Is a Determinant of Cliniical Outcome in Acute Middle Cerebral Artery Occlusion
Stroke 34:24256-2435, Jovin,T.G.,et al, 2003
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Article Abstract
In acute MCA occlusion, penumbra is consistently present within a relatively narrow range, despite great variability in the size of core. This may explain why the core and not the penumbra is the main determinant of outcome in our group of patients. Recanalization therapy in acute MCA occlusion should ideally be guided by diagnostic methods capable of rapidly and reliably identifying irreversible ischemia.
 
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cerebrovascular accident
ischemic core
ischemic penumbra
middle cerebral artery territory infarction
prognosis

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