TRANSCRANIAL DOPPLER DETECTION OF MICROEMBOLI IN A STROKE PATIENT WITH POLYCYTHEMIA-RUBRA-VERA

被引:6
作者
DELSETTE, M [1 ]
FINOCCHI, C [1 ]
ANGELI, S [1 ]
CONTI, M [1 ]
GANDOLFO, C [1 ]
机构
[1] UNIV GENOA,CNR,CTR STUDIO NEUROFISIOL,I-16132 GENOA,ITALY
关键词
STROKE; POLYCYTHEMIA RUBRA VERA; TRANSCRANIAL DOPPLER; HIGH-INTENSITY TRANSIENT SIGNALS;
D O I
10.1159/000107854
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report a case of a 63-year-old man without known risk factors for cerebrovascular disease who developed a right hemiparesis with slow onset and subsequent clinical improvement. Cerebral computed tomography and magnetic resonance showed two left hemispheric infarctions with hemorrhagic transformation. Transcranial Doppler examination showed a left middle cerebral artery stenosis and frequent high-intensity transient signals (HITS) only on the left side. Hematological tests revealed polycythemia rubra vera. Clinical improvement was associated with a reduction in the number of HITS on transcranial Doppler and a reduction in hematocrit levels. To our Knowledge, this is the first report of HITS on transcranial Doppler in a stroke patient with polycythemia rubra vera.
引用
收藏
页码:208 / 211
页数:4
相关论文
共 13 条
[1]  
COWBURN PJ, 1992, CLIN SCI S26, V82
[2]   COMPARISON OF DIAGNOSTIC-TECHNIQUES FOR THE DETECTION OF A PATENT FORAMEN OVALE IN STROKE PATIENTS [J].
DITULLIO, M ;
SACCO, RL ;
VENKETASUBRAMANIAN, N ;
SHERMAN, D ;
MOHR, JP ;
HOMMA, S .
STROKE, 1993, 24 (07) :1020-1024
[3]  
Hoffman R, 1979, Adv Intern Med, V24, P255
[4]   COMPUTERIZED DETECTION OF CEREBRAL EMBOLI AND DISCRIMINATION FROM ARTIFACT USING DOPPLER ULTRASOUND [J].
MARKUS, H ;
LOH, A ;
BROWN, MM .
STROKE, 1993, 24 (11) :1667-1672
[5]   SPECTACULAR SHRINKING DEFICIT - RAPID RECOVERY FROM A MAJOR HEMISPHERIC SYNDROME BY MIGRATION OF AN EMBOLUS [J].
MINEMATSU, K ;
YAMAGUCHI, T ;
OMAE, T .
NEUROLOGY, 1992, 42 (01) :157-162
[6]   MONITORING MIDDLE CEREBRAL-ARTERY BLOOD VELOCITY DURING CAROTID ENDARTERECTOMY [J].
PADAYACHEE, TS ;
GOSLING, RG ;
BISHOP, CC ;
BURNAND, K ;
BROWSE, NL .
BRITISH JOURNAL OF SURGERY, 1986, 73 (02) :98-100
[7]   THE DETECTION OF MICROEMBOLI IN THE MIDDLE CEREBRAL-ARTERY DURING CARDIOPULMONARY BYPASS - A TRANSCRANIAL DOPPLER ULTRASOUND INVESTIGATION USING MEMBRANE AND BUBBLE OXYGENATORS [J].
PADAYACHEE, TS ;
PARSONS, S ;
THEOBOLD, R ;
LINLEY, J ;
GOSLING, RG ;
DEVERALL, PB .
ANNALS OF THORACIC SURGERY, 1987, 44 (03) :298-302
[8]   DETECTION OF ARTERIAL EMBOLI USING DOPPLER ULTRASOUND IN RABBITS [J].
RUSSELL, D ;
MADDEN, KP ;
CLARK, WM ;
SANDSET, PM ;
ZIVIN, JA .
STROKE, 1991, 22 (02) :253-258
[9]  
RUSSELL D, 1992, STROKE, V23, P474
[10]  
SIBLER M, 1992, STROKE, V23, P1652