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nilay
i would go with cerebral angiography as this is acute onsetand with known embolic risk factor so thrombolytic therapy can be tried, otherwise MRI is best test for ischemic infarcts
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ankur
The ans is I.CT scan is best in the acute stage as an MRI may miss early haemorrhages.
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poly
yes sir-since atrial fibrillation pt=so emboli chance-so angiography..............
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nilay
hello! this is an embolic stroke not a hemmorahgic one and CAT shows ichaemic strokes very late not in acute situations, any opinions
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aditi
I think the role of CT scan here is to rule out hemorrhagic infarct in the brain which is necessary to start thrombolytic therapy in case of embolic stroke..
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ankur
The first preference is to decide for certain the type of stroke to decide further therapy.In acute situations,a CT is quicker than an MRI and will help r/o a haemorrhage which helps us decide in favour of fibrinolytic therapy.