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Emergency department experience of primary diffusion weighted magnetic resonance imaging for the patient with lacunar syndrome
  1. S P Chung1,
  2. H S Chung1,
  3. S Rhu2,
  4. S W Kim2,
  5. I S Yoo2,
  6. J Kim3,
  7. C J Song4
  1. 1Department of Emergency Medicine, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
  2. 2Department of Emergency Medicine, Chungnam National University, School of Medicine, Daejon, Republic of Korea
  3. 3Department of Neurology, Chungnam National University, School of Medicine, Daejon, Republic of Korea
  4. 4Department of Radiology, Chungnam National University, School of Medicine, Daejon, Republic of Korea
  1. Correspondence to:
 Dr S-P Chung
 Assistant Professor, Department of Emergency Medicine, Yongdong Severance Hospital, Dogok-dong, Gangnam-gu, Seoul, 135-720, Republic of Korea; emstar{at}naver.com

Abstract

Background: The purpose of this study was to evaluate the usefulness of a particular magnetic resonance imaging technique known as primary diffusion weighted imaging (DWI) for patients with lacunar syndrome in the emergency department (ED).

Methods: Patients with one of five classic lacunar syndromes underwent DWI as primary imaging modality. The DWI findings were classified into groups: (a) having a lesion with high signal intensity, (b) having a lesion with mixed signal intensity, and (c) unremarkable. The final clinical diagnoses were extracted from the patients’ medical records, and used as a reference standard.

Results: Of 151 DWI images, 120 (79%) were interpreted as high signal lesions, 21 (14%) as mixed signal lesions, and 10 (7%) as unremarkable. All patients with high signal lesions or unremarkable findings were diagnosed with ischaemic stroke. The patients with mixed signal lesions were diagnosed with haemorrhagic stroke with an exception of one ischaemic stroke.

Conclusion: Primary DWI is a feasible and useful neuroimaging tool for patients with lacunar syndrome in the ED.

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  • Competing interests: there are no competing interests

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