Abstract
Until the results of early intervention trials are known, computed tomography should be used selectively rather than routinely in all patients with stroke. Scanning may be advised in young patients (under 65 years) or in those with an atypical course where there is diagnostic doubt and computed tomography would influence management. The cost and medicolegal implications of routine scanning are enormous and should be considered carefully in relation to other and possibly more effective strategies.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Langhorne P., Williams B. O., Gilchrist W., Howie K. Do stroke units save lives? Lancet. 1993 Aug 14;342(8868):395–398. doi: 10.1016/0140-6736(93)92813-9. [DOI] [PubMed] [Google Scholar]
- Pessin M. S., Estol C. J., Lafranchise F., Caplan L. R. Safety of anticoagulation after hemorrhagic infarction. Neurology. 1993 Jul;43(7):1298–1303. doi: 10.1212/wnl.43.7.1298. [DOI] [PubMed] [Google Scholar]
- Sotaniemi K. A., Pyhtinen J., Myllylä V. V. Correlation of clinical and computed tomographic findings in stroke patients. Stroke. 1990 Nov;21(11):1562–1566. doi: 10.1161/01.str.21.11.1562. [DOI] [PubMed] [Google Scholar]