Computed tomography (CT) for stroke

Evidence-based neurology checklist on computed tomography (ct) for stroke: Signs of stroke on CT The dense MCA sign The multi-segment clot (MSC) sign The loss of the insula ribbon sign The fogging effect Differential diagnosis of the MCA sign CT ASPECTS scoring

Signs of stroke on CT

  • The dense MCA sign
  • The multi-segment clot (MSC) sign
  • The loss of the insula ribbon sign
  • The fogging effect

Differential diagnosis of the MCA sign

CT ASPECTS scoring

References

  1. Chalela JA, Kasner SE. The fogging effect. Neurology 2000; 55:315. 
  2. Jha B, Kothari M. Pearls & oy-sters: hyperdense or pseudohyperdense MCA sign: a Damocles sword? Neurology 2009; 72:e116-e117.
  3. Chen Z, Shi F, Zhang M, Gong X, Lin L, Lou M. Prediction of the multisegment clot sign on dynamic CT angiography of cardioembolic stroke. Am J Neuroradiol 2018; 39:663-668.
  4. Shi F, Chen Z, Gong X, Zhang M, Liebeskind DS, Lou M. Presence of multi-segment clot sign on dynamic CT angiography: a predictive imaging marker of recanalisation and good outcome in acute ischaemic stroke patients. Eur Radiol 2018; 28:3413-3421.
  5. Truwit CL, Barkovich AJ, Gean-Marton A, Hibri N, Norman D. Loss of the insular ribbon: another early CT sign of acute middle cerebral artery infarction. Radiology 1990; 176:801-806.
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