A perplexing case report of an imaging negative acute ischemic stroke

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dc.contributor.authorChandrashekar, Den_US
dc.contributor.authorSharma, Divijen_US
dc.contributor.authorDesai, Mehulen_US
dc.contributor.authorSurya, Nirmalen_US
dc.date.accessioned2023-08-09T06:15:25Z
dc.date.available2023-08-09T06:15:25Z
dc.date.issued2022-04
dc.description.abstractMagnetic resonance imaging (MRI) is often seen as the gold standard when dealing with an acute ischemic stroke. Despite its unique ability to quickly diagnose acute stroke with diffusion-weighted imaging, there is enough evidence to suggest that MRI has failed to diagnose acute ischemic stroke in a minority of patients. We, hereby, present a case of a 55-year-old gentleman who presented with symptoms consistent with an acute ischemic event, but concurrent computed tomography and MRI were normal. However, the treatment regime for stroke was commenced despite normal imaging. It was only on the 3rd day of admission when the MRI revealed a significant finding which consolidated our diagnosis of ischemic stroke.Through this case report, we aim to help clinicians avoid misdiagnosis or delay in the treatment strategies, especially intravenous thrombolysis in patients with a clinical diagnosis of acute stroke with normal neuroradiological imaging. This is a testament to the fact that clinical assessment still retains priority until a diagnostic tool offers 100% sensitivity and specificityen_US
dc.identifier.affiliationsResidenten_US
dc.identifier.affiliationsResidenten_US
dc.identifier.affiliationsClinical Associateen_US
dc.identifier.affiliationsAssociate Professor and President, Department of Neurology, Bombay Hospital and Medical Research, Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationChandrashekar D, Sharma Divij, Desai Mehul, Surya Nirmal. A perplexing case report of an imaging negative acute ischemic stroke. Indian Journal of Case Reports. 2022 Apr; 8(4): 115-117en_US
dc.identifier.issn2454-1303
dc.identifier.issn2454-129X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/222177
dc.languageenen_US
dc.publisherMansa STM Publishersen_US
dc.relation.issuenumber4en_US
dc.relation.volume8en_US
dc.source.urihttps://doi.org/10.32677/ijcr.v8i4.3399en_US
dc.subjectMagnetic resource angiographyen_US
dc.subjectPerfusion-weighted imageen_US
dc.subjectStrokeen_US
dc.subjectTransient ischemic attacken_US
dc.titleA perplexing case report of an imaging negative acute ischemic strokeen_US
dc.typeJournal Articleen_US
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