How do you manage cranial radiotherapy in the setting of an acute CVA?

Location of the infarct is important to consider, like brainstem or cerebellum or MCA areas apart from functional status. Lesion (infarct) volume (measured on DW-MRI) is an objective surrogate marker for infarct resolution [Gaudinski et al., PMID 18635854]. Either a SPECT or PET/CT scans can be used based on the concern, for further assessment of cerebral blood flow and metabolic activity in neurons. The 2018 American Heart Association/American Stroke Association guidelines reflect a paradigm sh...