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Diagnosis of DWI-Negative Acute Ischemic Stroke
Neurol 89:256-262, Edlow, B.L.,et al, 2017
See this aricle in Pubmed

Article Abstract
A small but significant percentage of patients with AIS have a negative DWI scan. Patients with neurologic deficits consistent with posterior circulation ischemia have 5 times the odds of having a negative DWI scan compared to patients with anterior circulation ischemia. AIS remains a clinical diagnosis and urgent reperfusion therapy should be considered even when an initial DWI scan is negative.
 
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