Dating Acute, Subacute, and Chronic Infarct on MRI

Note.—Susceptibility-weighted imaging may help differentiate hemorrhagic transformation from cortical necrosis, and diffusion-weighted imaging findings may be falsely negative in patients with hyperacute or acute posterior circulation or lacunar stroke. In the hyperacute stages, a large area of enhancement in the deep gray matter or basal ganglia may indicate impending hemorrhagic transformation.  * Increased parenchymal cortical enhancement should end around 48 hours after stroke.  † Arterial and meningeal enhancement should end around 1 week after stroke.  http://radiographics.rsna.org/content/32/5/1285.full

Note.—Susceptibility-weighted imaging may help differentiate hemorrhagic transformation from cortical necrosis, and diffusion-weighted imaging findings may be falsely negative in patients with hyperacute or acute posterior circulation or lacunar stroke. In the hyperacute stages, a large area of enhancement in the deep gray matter or basal ganglia may indicate impending hemorrhagic transformation.
* Increased parenchymal cortical enhancement should end around 48 hours after stroke.
† Arterial and meningeal enhancement should end around 1 week after stroke.
http://radiographics.rsna.org/content/32/5/1285.full

Note.—Susceptibility-weighted imaging may help differentiate hemorrhagic transformation from cortical necrosis, and diffusion-weighted imaging findings may be falsely negative in patients with hyperacute or acute posterior circulation or lacunar stroke.  * Cortical necrosis usually resolves by 3 months after stroke and rarely persists for more than a year.  † If parenchymal enhancement persists for more than 8 weeks, other causes should be considered.

Note.—Susceptibility-weighted imaging may help differentiate hemorrhagic transformation from cortical necrosis, and diffusion-weighted imaging findings may be falsely negative in patients with hyperacute or acute posterior circulation or lacunar stroke.
* Cortical necrosis usually resolves by 3 months after stroke and rarely persists for more than a year.
† If parenchymal enhancement persists for more than 8 weeks, other causes should be considered.

stroke timetable

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