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American Academy of Neurology (AAN), Neurology, 3(62), p. 523-523, 2004

DOI: 10.1212/wnl.62.3.523

American Academy of Neurology (AAN), Neurology, 1(60), p. 135-137

DOI: 10.1212/01.wnl.0000042086.98735.75

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CT assessment of conjugate eye deviation in acute stroke.

Journal article published in 2003 by Silvia Di Legge, J. E. Simon, Vadim Beletsky, Vivek Jain, S. C. Morgan, J. H. W. Pexman, Vladimir Hachinski, M. D. Hill, A. M. Buchan ORCID
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Abstract

Conjugate eye deviation seen on clinical examination helps to localize pathology in acute ischemic stroke. Eye deviation can also be assessed on a CT head scan. The authors found that CT eye deviation reliably lateralizes to the ischemic hemisphere (positive predictive value 93%) without reference to clinical examination. In an era of thrombolysis and rapid decision making in acute ischemic stroke, eye deviation on CT can help quickly direct attention to the affected hemisphere.