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【影像醫學科-賴彥君醫師答覆】
Dear Dr. 方:
For this kid with acute stroke at the age of 11, I suggest a complete MR imaging of brain with TOF MRA in the brain and neck. Perfusion brain MR study is also valuable in the decision making. Based on previous non-invasive studies, we can decide whether a cerebral angiograpy is required. If there was a headache or trauma event prior to ischemic stroke attack, an arterial dissection is highly suspected.
If it's OK, please send me CT or MR images of this kid, and we can discuss this case in advance. Thank you.
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