Cerebral microembolism in acute spontaneous internal carotid artery dissection

被引:66
作者
Molina, CA
Alvarez-Sabín, J
Schonewille, W
Montaner, J
Rovira, A
Abilleira, S
Codina, A
机构
[1] Hosp Gen Valle Hebron, Dept Neurol, Cerebrovasc Unit, Barcelona 08035, Spain
[2] Hosp Gen Valle Hebron, Magnet Resonance Unit, Barcelona 08035, Spain
[3] Clin Rotger, Dept Neurol, Mallorca, Spain
关键词
D O I
10.1212/WNL.55.11.1738
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The rate and risk factors for early ischemic recurrence in patients with internal carotid artery dissection (ICAD) are largely unknown. Serial transcranial Doppler (TCD) monitoring of microembolic signals (MES) was performed in 28 consecutive patients with acute ICAD, MES were identified in 13 patients, and early ischemic recurrence occurred in 7. Six of 13 patients with MES and 1 of 15 without MES experienced early ischemic recurrence (p = 0.029). MES detection on serial TCD monitoring may be associated with an increased risk of early ischemic recurrence in patients with acute ICAD.
引用
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页码:1738 / 1740
页数:3
相关论文
共 9 条
[1]  
Babikian VL, 1996, J ULTRAS MED, V15, P863
[2]   Cerebral microembolism and early recurrent cerebral or retinal ischemic events [J].
Babikian, VL ;
Wijman, CAC ;
Hyde, C ;
Cantelmo, NL ;
Winter, MR ;
Baker, E ;
Pochay, V .
STROKE, 1997, 28 (07) :1314-1318
[3]   Brain embolism is a dynamic process with variable characteristics [J].
Babikian, VL ;
Caplan, LR .
NEUROLOGY, 2000, 54 (04) :797-801
[4]   Multiple acute stroke syndrome -: Marker of embolic disease? [J].
Baird, AE ;
Lövblad, KO ;
Schlaug, G ;
Edelman, RR ;
Warach, S .
NEUROLOGY, 2000, 54 (03) :674-678
[5]   Clinical application of asymptomatic embolic signal detection in acute stroke - A prospective study [J].
Kaposzta, Z ;
Young, E ;
Bath, PMW ;
Markus, HS .
STROKE, 1999, 30 (09) :1814-1818
[6]   Microemboli on transcranial Doppler in patients with spontaneous carotid artery dissection [J].
Koennecke, HC ;
Mast, H ;
Trocio, SH ;
Mohr, JP .
JOURNAL OF NEUROIMAGING, 1997, 7 (04) :217-220
[7]  
Ringelstein EB, 1998, STROKE, V29, P725
[8]   Transcranial Doppler in the evaluation of internal carotid artery dissection [J].
Srinivasan, J ;
Newell, DW ;
Sturzenegger, M ;
Mayberg, MR ;
Winn, HR .
STROKE, 1996, 27 (07) :1226-1230
[9]   Microembolic signals and risk of early recurrence in patients with stroke or transient ischemic attack [J].
Valton, L ;
Larrue, V ;
le Traon, AP ;
Massabuau, P ;
Géraud, G .
STROKE, 1998, 29 (10) :2125-2128