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Author Biographies
Glorien Lemahafaka
Service de Neurologie, Centre Hospitalier de Pontarlier, France
Ansoumane Camara
Service de Neurologie, Centre Hospitalier de Pontarlier, France
Lala Rajaonarison
Service de Neurologie, Centre Hospitalier Joseph Raseta Befelatanana, Madagascar
Francis Vallet
Service de Neurologie, Centre Hospitalier de Pontarlier, France
Main Article Content
Un AVC ischémique a IRM cérébrale normale: à propos d’un cas
Glorien Lemahafaka
Ansoumane Camara
Lala Rajaonarison
Francis Vallet
Abstract
L'IRM cérébrale reste un examen de référence pour diagnostiquer un accident vasculaire cérébrale. La sensibilité au cours d'un accident vasculaire cérébrale à la phase aigüe n'atteint pas toujours 100%. Nous rapportons un cas d'un accident vasculaire cérébral ischémique à IRM cérébrale initiale normale. L'IRM cérébrale normale à la phase précoce d'un accident vasculaire cérébrale pose un doute sur l'indication de la thrombolyse qui est le traitement de référence en cas d'embole cérébrale. La répétition d'un examen avec coupe fine, en séquence de diffusion B2000 permettrait de mettre en évidence l'infarctus de très petit volume non visualisé par IRM cérébrale conventionnelle.
The Pan African Medical Journal 2016;25
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