Artigo Revisado por pares

Cerebral microembolism in acute spontaneous internal carotid artery dissection

2000; Lippincott Williams & Wilkins; Volume: 55; Issue: 11 Linguagem: Inglês

10.1212/wnl.55.11.1738

ISSN

1526-632X

Autores

Carlos A. Molina, José Álvarez‐Sabín, Wouter J. Schonewille, Joan Montaner, Álex Rovira, Sònia Abilleira, A Codina,

Tópico(s)

Acute Ischemic Stroke Management

Resumo

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.

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