Abstract

Twenty-six patients with clinically documented acute cerebral infarction were evaluated by CT within the first 24 hours. Twenty-one patients demonstrated subtle mass effects and/or focal areas of decreased attenuation corresponding to areas of clinical deficit. Enhancement occurred in only five of 15 infarctions rescanned after contrast administration. In three of these, the region of infarction became isodense after contrast. In a patient with multifocal infarcts, enhancement was the only clue to infarction in one foci. The improved spatial and contrast resolution of current generation scanners appears to have significantly increased the sensitivity of CT in demonstrating acute cerebral infarction and has important clinical application.

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