Ischemic stroke — thrombectomy window?

Basic window: up to 6 h from onset. Extended (DAWN/DEFUSE-3) up to 24 h in selected cases with clinical-radiologic mismatch, adequate ASPECTS and proximal occlusion.

Incidental aneurysm — when to treat?

Multidisciplinary decision. Consider: size (≥ 7 mm generally), location (posterior > anterior circulation), irregular morphology, symptoms, prior SAH and patient risk factors (PHASES score).

Report template — CT of arterial cervical

When to use

Cervical/intracranial arterial and venous CTA is the method of choice in emergency for stroke with suspected large-vessel occlusion, subarachnoid hemorrhage (ruptured aneurysm workup), cerebral venous thrombosis and cervical arterial dissection.

What to evaluate

Carotid and vertebral patency (stenoses, occlusions, dissections).
Circle of Willis: ACA, MCA, PCA and anatomical variants.
Aneurysms: location, size, morphology (saccular, fusiform), rupture signs.
Venous system: dural sinuses and deep cerebral veins — thrombosis signs (filling defects).
In stroke: identify proximal occlusion (M1, ICA, ACA-A1, basilar) for thrombectomy eligibility.

Interactive template

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Técnica: Realizados cortes axiais durante a injeção do meio de contraste endovenoso, com reconstruções tridimensionais. Análise: - Arco aórtico: sem particularidades. Origem habitual dos troncos supra-aórticos. - Tronco braquiocefálico e artérias subclávias proximais: trajeto e calibre preservados. - Artérias carótidas comuns e segmento cervical das artérias carótidas internas: calibre e contornos preservados. - Segmentos cervicais das artérias vertebrais: trajeto, calibre e contornos normais. - Estenoses hemodinamicamente significativas: ausentes. - Dilatações aneurismáticas: ausentes. - Variações anatômicas: artéria vertebral direita esquerda dominante. Comparação: Estudos anteriores não disponíveis. Conclusão: Angiotomografia arterial cervical dentro dos parâmetros da normalidade.

Template in Brazilian Portuguese (clinical reporting language). Adapt to your service protocol. Not medical advice — the physician reviews, edits and signs.

How to use

Replace each [...] with the exam's measurement or descriptor.
Adapt the conclusion to your service protocol before signing.
Use the template as a starting point — not a replacement for physician review.
In Laudos.AI, dictate findings in natural speech and the AI structures text in this format for review.

Frequently asked

Ischemic stroke — thrombectomy window?: Basic window: up to 6 h from onset. Extended (DAWN/DEFUSE-3) up to 24 h in selected cases with clinical-radiologic mismatch, adequate ASPECTS and proximal occlusion.
Incidental aneurysm — when to treat?: Multidisciplinary decision. Consider: size (≥ 7 mm generally), location (posterior > anterior circulation), irregular morphology, symptoms, prior SAH and patient risk factors (PHASES score).

References

Powers WJ et al., Stroke 2019.
Greving JP et al., Lancet Neurol 2014 (PHASES).