A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup
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Publication date
2018-05-01
Authors
Kauw, Frans
Dankbaar, Jan Willem
Habets, Jesse
Cramer, Maarten Jan
de Jong, Hugo W.A.M.
Velthuis, Birgitta K
Kappelle, Jaap
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Document Type
Article
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Abstract
This case report describes a patient who experienced a recurrent ischemic stroke within 24 h. Dual-energy computed tomography (DECT) angiography on admission showed 2 intracardiac thrombi, 1 in the left ventricle and 1 in the left atrial appendage. Following the second ischemic event, repeated DECT angiography showed that the ventricular thrombus had considerably diminished, suggesting that the recurrent brain infarction was caused by cardioembolism. This case emphasizes (1) the potential benefit of cardiac evaluation through CT angiography in the acute stroke setting, and (2) the use of DECT angiography for the detection of thrombus and the differentiation between thrombus, the myocardial wall, and a slow flow of contrast.
Keywords
Acute stroke imaging, Cardioembolic stroke, Computed tomography angiography, Dual-energy computed tomography, Ischemic stroke, Recurrent stroke, Clinical Neurology, Case Reports
Citation
Kauw, F, Dankbaar, J W, Habets, J, Cramer, M J M, de Jong, H W A M, Velthuis, B K & Kappelle, L J 2018, 'A Change of Heart : Yield of Cardiac Imaging in Acute Stroke Workup', Case Reports in Neurology, vol. 10, no. 2, pp. 118-123. https://doi.org/10.1159/000489254