Title: Stroke and the Extracranial Carotid Arteries: Role of Color Doppler
Authors: Dr B.B.Panda, Dr Subhasish Mohapatra, Dr Savitri Bhagat, Dr Subhasish Panda, Dr Anurag Das, Dr Subhashree Dash, Dr Keshaba Panigrahy
DOI: https://dx.doi.org/10.18535/jmscr/v6i6.05
Abstract
Aims and Objectives: This study was carried out with the aims to find out the age, sex and various risk factors in patients of ischemic stroke and to know the distribution of territory of the brain infarction and study the association of carotid artery atherosclerosis.
Results: Hypertensive males in the age group of 61-70 years of age were the most common patients. Stenosis of Carotid Arteries was found in 24 (48 %) out of 50 cases.
Conclusion: Carotid Doppler can be used for early detection, quantification and characterization of extracranial atherosclerosis and occlusive disease
Keywords: Middle Cerebral, Lacunar, Intimomedial, Stenosis.
References
- Carroll BA et al. Carotid ultrasound. Neuroimaging clinics of North America. (1996), 6(4):875-897.
- Gupta PD et al. Cerebrovascular accident. A clinical analysis of 260 cases. Indian Heart journal(1965), 17:57.
- Dalal pm et al Strokes (CVA) in India. Jap Circul J 1982; 46:621-4. Correlates of stroke in Community. Journal of Indian Academy of Clinical Medicine. (1998); 5(1):27-31.
- Mishra SS, Agrawal RN, Silcar PS; Cerebrovascular disease, A review of 458 consecutive cases, Journal of Indian Medical Association, 967, 48:528.
- Abraham J, Rao PSS, Inbaraj SG, Shetty G et al. An epidemiological study of hemiplegia due to stroke in South India. Stroke (1970)1:477-81.
- Chopra JS, Pravakar S et al : Clinical features and risk factors in stroke in India; Neurol.Scand (1979)60:289
- Regli L, Regli F et al. Magnetic Resonance Imaging With Gadolinium Contrast Agent in Small Deep (Lacunar) Cerebral Infarcts; Arch Neurol. (1993);50(2):175-180.
- Ladurner G, Sager WD, Iliff LD, Lechner H et al. A Correlation of Clinical Findings and CT in Ischaemic Cerebrovascular Disease. Eur Neurology(1979);18:281-288.
- Osborn AG: Diagnostic Neuroradiology. 1994.
- P. J. Martin, T. P. Enevoldson, and P. R. Humphrey. Causes of ischaemic stroke in the young.Postgrad Med J. 1997 Jan; 73(855): 8–16.
- Sethi SK, Solanki RS, Gupta H et al Color and Duplex Doppler imaging evaluation of extracranial carotid artery in patients presenting with transient ischaemic attack and stroke – a clinical and radiological correlation. Indian Journal of Radiology and Imaging. 2005; 15(1):91-98
- Foster A, Gass A, Kern R, Wolf ME et al. Gender Differences in Acute Ischemic Stroke Etiology, Stroke Patterns and Response to Thrombolysis; Stroke(2009), 40:2428-2432.
- Vincenzini E, Giannoni MF, Ricciardi MC, Toscano M et al. Non invasive Imaging of Carotid Arteries in Stroke: Emerging Value of Real- time High- Resolution Sonography in Carotid Occlusion Due to Cardiac Embolism; J ultrasound med (2010); 29:1635-1941.
- Ebrahim S, Papacosta O, Whincup P, Wannamethee G et al. Carotid Plaque, Intima Media Thickness, Cardiovascular Risk Factors, and Prevalent Cardiovascular Disease in Men and Women: The British Regional Heart Study Stroke. (1999);30:841-50.
- Petrovic S, Petrovic D, Rancic Z, Zivkovic M et al. The significance of Color Doppler Sonography in selection of patients for carotid endarterectomy: Acta facultatis medical Naissensis. (2006) vol.23(1),31-38.