Document Detail

Neurosonographic monitoring of haemodynamic changes in tandem middle cerebral and internal carotid artery occlusion due to arterial dissection.
MedLine Citation:
PMID:  23319228     Owner:  NLM     Status:  Publisher    
A middle-aged man with pain in the right eye and right side of the neck was brought to the emergency department one hour after the onset of left-sided weakness. Computed tomo-graphy (CT) showed hyperdense right middle cerebral arte-ry (MCA). On transcranial Doppler (TCD), occlusion of the right MCA and right internal carotid artery (ICA) was found. Thirty minutes after thrombolytic therapy was initiat-ed, engagement of collateral circulation through the anterior communicating artery (AComA) was shown by TCD. Caro-tid duplex examination confirmed occlusion of the right ICA with intimal flap and intramural haematoma. CT angiography revealed flame-like occlusion of the right ICA, and occlusion of the right MCA with collateral supply from the left to right anterior cerebral artery through the AComA. Recanali-zation of the MCA and ICA was evident on both CT and ultrasound. Frequent ultrasound monitoring is useful for haemodynamic evaluation of carotid artery dissection, while TCD plays an important role in real-time monitoring of flow changes of intracranial vasculature.
Zeljko Zivanovic; Aleksandar Jesic; Aleksandra Lucic-Prokin; Predrag Avramov; Nikola Boban; Slobodan Gvozdenovic; Petar Slankamenac
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Publication Detail:
Journal Detail:
Title:  Neurologia i neurochirurgia polska     Volume:  46     ISSN:  0028-3843     ISO Abbreviation:  Neurol. Neurochir. Pol.     Publication Date:  2012  
Date Detail:
Created Date:  2013-1-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0101265     Medline TA:  Neurol Neurochir Pol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  595-599     Citation Subset:  -    
Zeljko Zivanovic, MD, Clinical Centre of Vojvodina, Emergency Centre, Department of Neurology, Hajduk Veljka 1, 21000 Novi Sad, Serbia, phone: +381638329117, fax: +381214872244, e-mail:
Vernacular Title:
Ultrasonograficzne monitorowanie zmian hemodynamicznych w jednoczesnej niedrożności tętnicy mózgu środkowej i tętnicy szyjnej wewnętrznej wywołanej rozwarstwieniem tętnicy.
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