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Correlation of Clinical and Computed Tomographic Findings in Stroke Patients Stroke 21:1562-1566, Sotaniemi,K.A.,et al, 1990 See this aricle in Pubmed Article Abstract We evaluated the correlation between clinical features and computed tomographic findings in a prospective study of 1,191 consecutive patients with acute cerebrovascular disease seen during 1 year.In the 386 patients in whom symptoms and signs initially suggested a cerebrovascular disorder, computed tomography revealed a relevant lesion in 154(hemorrhagic in 52[ 33.8%],ischemic in 102[66.2%]and a significant nonstroke abnormality in 14[3.1%]).Among the remaining 805 patients with symptoms and signs suggesting some central nervous system disorder other than stroke,computed tomography revealed a cerebrovascular lesion in 38(4.7%);35 of these lesions were ischemic.The computed tomographic finding was compatible with the final clinical diagnosis in 192(84.2%)of the 228 patients with lesions.In the entire sample of 1,191 patients,a cerebrovascular disorder would have been missed in 38(3.2%)without computed tomography.On the other hand,computed tomography failed to visualize a cerebrovascular lesion in 40 patients in whom such a lesion was clinically obvious.Our results emphasize that both careful neurologic assessment and a policy of early computed tomography are of crucial importance in the diagnosis of stroke and for therapeutic considerations.

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