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Attenuated Corticomedullary Contrast:An Early Cerebral Computed Tomography Sign Indicating Malignant Middle Cerebral Artery Infarction, A Case-Control Study
Stroke 30:1076-1082, Haring,H-P.,et al, 1999
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Article Abstract
No neuroradiological markers have been characterized that support a timely decision for decompressive surgery in malignant middle cerebral artery (MCA) infarction (mMCAI). This case-control study was designed to analyze whether early cerebr al CT (CCT) scanning provides reliable information for the prospective selection of stroke patients at risk of developing mMCAI. The analysis of CCT scans within 18 hours of stroke onset revealed an attenuated corticomedullary contrast as the crucial CCT criterion, which, with both sufficient sensitivity and specificity, predicted mMCAI with 95% certainty.
 
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cerebrovascular accident
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middle cerebral artery territory infarction
middle cerebral artery territory infarction,malignant
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