Emergency · Stroke

Suspected stroke?

Cyprus emergency services · 199 Hospital Emergency Department · +357 25 200 183

Do not wait for an online consultation response.

Use B.E. F.A.S.T. to recognise the sudden warning signs of stroke.

B.E. F.A.S.T. warning signs

Balance
Sudden loss of balance, coordination, dizziness or difficulty walking.
Eyes
Sudden blurred or double vision, or loss of sight in one or both eyes.
Face
One side of the face droops or feels numb. Ask the person to smile.
Arms
One arm is weak or numb, or drifts down when both arms are raised.
Speech
Speech is slurred, confused or difficult to understand.
Time
Call immediately and note the exact time symptoms started or were last absent.

Every minute matters. Call even if the symptoms improve or disappear. Rapid hospital assessment and brain imaging can open access to time-sensitive treatment.

Neuro Library · Research update

Cerebral no-reflow after thrombectomy: beyond reopening the artery

Name: Cerebral no-reflow after thrombectomy: beyond reopening the artery
Creator: Dr Theodosios Tsinas

A new international consensus on definition and imaging assessment.

Dr Theodosios Tsinas2 min readPublished 1 November 2026

What the consensus proposes

No-reflow describes persistent microvascular hypoperfusion despite reopening large arteries. This Delphi consensus favours angiography alongside perfusion imaging, with CBF/CBV preferred for microvascular assessment. Assessment is preferably within six hours, excluding alternative causes. Quantitative thresholds remain unsettled; this is an expert framework requiring validation.

DSA · SyntheticSynthetic DSA illustration: reopened left M1 with distal arterial filling and no depicted peripheral blush. Not a patient image or a validated no-reflow example.

03 · Evidence

Original paper

Cerebral No-Reflow after Thrombectomy: International Delphi Consensus on Definition and Imaging AssessmentMujanovic A, Rivet S, ter Schiphorst A, et al. · Annals of Neurology · 12 October 2026 · DOI: 10.1002/ana.78387