Abstract
Localising an infarct is a vital part of the diagnostic process. This case demonstrates how careful investigation can reveal unexpected pathology. Many services cannot provide MRI as the initial imaging modality and busy stroke units under pressure may have to consider out patient imaging. However, this may lead to misdiagnosis and this case demonstrates how intelligent use of imaging can avoid carrying out unnecessary procedures even in a persuasive set of circumstances.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Guay J, Ochroch EA. Carotid endarterectomy plus medical therapy or medical therapy alone for carotid artery stenosis in symptomatic or asymptomatic patients: a meta-analysis. J Cardiothorac Vasc Anesth. 2012;26(5):835–44. doi:10.1053/j.jvca.2012.01.044. Epub 2012 Apr 10.
Halliday A, Harrison M, Hayter E, et al. Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group. 10-year stroke prevention after successful carotid endarterectomy for asymptomatic stenosis (ACST-1): a multicentre randomised trial. Lancet. 2010;376(9746):1074–84. doi:10.1016/S0140-6736(10)61197-X.
Amort M, Fluri F, Schäfer J, et al. Transient ischemic attack versus transient ischemic attack mimics: frequency, clinical characteristics and outcome. Cerebrovasc Dis. 2011;32(1):57–64. doi:10.1159/000327034. Epub 2011 May 25.
Carpentier N, Edjlali M, Bouhafs F, et al. Serial brain MRI in TIA patients. J Neuroradiol. 2012;39(3):137–41. doi:10.1016/j.neurad.2012.02.002. Epub 2012 Jun 27.
Albach FN, Brunecker P, Usnich T, et al. Complete early reversal of diffusion-weighted imaging hyperintensities after ischemic stroke is mainly limited to small embolic lesions. Stroke. 2013;44(4):1043–8. doi:10.1161/STROKEAHA.111.676346. Epub 2013 Feb 28.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag London
About this chapter
Cite this chapter
Schmitt, A.J., Simister, R. (2015). An MRI Saves a Patient from Unnecessary Surgery. In: Gill, S., Brown, M., Robertson, F., Losseff, N. (eds) Stroke Medicine. Springer, London. https://doi.org/10.1007/978-1-4471-6705-1_17
Download citation
DOI: https://doi.org/10.1007/978-1-4471-6705-1_17
Publisher Name: Springer, London
Print ISBN: 978-1-4471-6704-4
Online ISBN: 978-1-4471-6705-1
eBook Packages: MedicineMedicine (R0)