Exciting advances in anatomical imaging have greatly improvedour capacity to detect pathologic processes in the nervous system,localize these processes precisely, and predict the type ofdisease more accurately than ever before (Table 1). These advances,coupled with new and emerging therapies for previously untreatablediseases, have expedited the evaluation of patients with neurologicdisorders and permitted the rapid initiation of therapy. Inacute ischemic stroke, for example, brain imaging is requiredbefore the administration of recombinant tissue plasminogenactivator, and treatment within three hours of onset greatlyimproves the outcome.1
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Table 1. Preferred Imaging Procedures in Neurologic Diseases.
From the Department of Neurology, University of Michigan, Ann Arbor.
Address reprint requests to Dr. Gilman at the Department of Neurology, University of Michigan Medical Center, 1500 E. Medical Center Dr., TC 1914, Ann Arbor, MI 48109-0316.
References
Related Letters:
Imaging the Brain
Bosch X., Levenson J. L., Martín-Bermúdez R., Murillo-Cabezas F., Dominguez-Roldán J. M., Reilly P. M., Alavi A., Jenkins D. H., Gilman S.
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N Engl J Med 1998;
339:407-409, Aug 6, 1998.
Correspondence
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