RT Journal Article SR Electronic T1 Imaging in acute ischaemic stroke: pearls and pitfalls JF Practical Neurology JO Pract Neurol FD BMJ Publishing Group Ltd SP 349 OP 358 DO 10.1136/practneurol-2016-001569 VO 17 IS 5 A1 James Caldwell A1 Manraj K S Heran A1 Ben McGuinness A1 P Alan Barber YR 2017 UL http://pn.bmj.com/content/17/5/349.abstract AB Prompt and accurate diagnosis is the foundation of acute ischaemic stroke care. Multiple positive endovascular thrombectomy trials in ischaemic stroke patients with large vessel occlusions have further emphasised this but also added complexity to treatment decisions. CT angiography is now routine for patients who present with an acute stroke syndrome around the world. Members of the neurology and stroke teams (rather than radiologists) are often the first doctors to lay eyes on the CT images and are best equipped to integrate the clinical picture with the imaging findings. A sound understanding of acute stroke imaging is therefore essential for clinicians who work with acute stroke patients. This review describes some pearls we have gleaned from our own experience in acute stroke imaging as well as some potential follies to be avoided.