Document Detail


Potential relevance of low-intensity microembolic signals by TCD monitoring.
MedLine Citation:
PMID:  20953814     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The significance of low-intensity microembolic signals (MES), as well as their relationship with high-intensity MES, has not yet been studied. We monitored MES by TCD in 256 arteries of 229 patients with carotid stenosis. All microemboli were detected automatically without a preliminary set threshold. For those 110 patients who evidenced any emboli, the correlation between the number of high- and low-intensity MES was r = 0.50, p < 0.0001. A statistically significant relationship between both types of MES was found, with a degree of association of 0.42, as assessed by Cohen's kappa. Later occurrence of high-intensity MES based on early low-intensity MES was statistically significant, with a chi-square p = 0.0006 and a degree of association of 0.24, as assessed by Cohen's kappa. There is a significant relationship between low- and high-intensity MES, thereby indicating that many MES routinely rejected because of their low intensity are real.
Authors:
G Telman; E Sprecher; E Kouperberg
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Publication Detail:
Type:  Journal Article     Date:  2010-10-16
Journal Detail:
Title:  Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology     Volume:  32     ISSN:  1590-3478     ISO Abbreviation:  Neurol. Sci.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100959175     Medline TA:  Neurol Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  107-11     Citation Subset:  IM    
Affiliation:
Department of Neurology, Rambam Health Care Campus, Technion Faculty of Medicine, Haifa, Israel, g_telman@rambam.health.gov.il.
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