Advanced Stroke Imaging and Subtleties in the Neurologic Exam

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This National Stroke Education Center (NSEC) program serves as a state of the art description of the current landscape of acute stroke care.  The faculty members presenting in this program are experts in stroke management with backgrounds in stroke research, emergency medicine, neurocritical care, neurointervention and neurology. Through this educational program, healthcare professionals (HCPs) will improve and enhance their knowledge, competence, and clinical performance in acute ischemic stroke (AIS) care as they distill clinical data into practice-changing outcomes. This program begins with a review of some of the more complicated clinical presentations of ischemic stroke.  The symptoms, physical examination findings, and differential diagnoses related to aphasia, ataxia, top of the basilar syndrome, and posterior circulation strokes are discussed. Calculation of the ASPECTS score in patients with ischemic stroke is described, and the relationship of the ASPECTS score to outcomes after reperfusion is discussed. Additionally, the utility of DWI and T2 FLAIR MRI sequences in the evaluation of patients with ischemic stroke symptoms is reviewed. And finally, tips for ensuring a technically adequate CT perfusion scan and for recognizing AI misclassification in order to ensure adequate CTP interpretation are presented.

  • Assessing Aphasia in the Acute Stroke Patient: Is It Really That Daunting of a Task?

  • Aphasia vs Encephalopathy: How to Reliably Distinguish Them at the Bedside

  • Top of the Basilar Syndrome: The Stroke That Looks Like an Overdose

  • Posterior Stroke Misses: How To Avoid Becoming a Statistic

  • Ataxia Assessment in Acute Stroke Patients: It’s Critical and We Can Do Better

  • The ASPECTS Score in Emergent Evaluation: Origins and Calculations

  • The ASPECTS Score in Emergent Evaluation: Evolution and Current Utilization

  • Seizures vs Stroke: Does MRI Clearly Answer the Question in the Acute Setting?

  • WAKE UP MRI: Pictures are Better than a Clock

  • Technical Failures in CT Perfusion in Stroke: How To Identify Them When They Occur

  • Misleading CTP Results in Acute Ischemic Stroke: When the AI Gets It Wrong

Faculty:

Stacie L. Demel, DO, PhD
Assistant Professor, Department of Neurology and Rehabilitation Medicine
University of Cincinnati, Cincinnati, OH

Matthew Smith, MD
Neurocritical Care
Endovascular Neurosurgery Fellow
University of Cincinnati, Cincinnati, OH

Moshè A. Mizrahi, MD
Assistant Professor of Neurology and Rehabilitation Medicine
University of Cincinnati Gardner Neuroscience Institut
Cincinnati, OH

Robert Stanton, MD
Assistant Professor of Neurology
University of Cincinnati
Cincinnati, OH

Achala Vagal, MD, MS
Vice Chair of Research
Professor of Radiology
University of Cincinnati Medical Center
Cincinnati, OH