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27 Correlation between extra-cranial and transcranial Doppler in evaluation of ischemic stroke

Published online by Cambridge University Press:  24 June 2014

Jasminka Đelilović-Vranić  and
Eldina Osmanagić
Jasminka Đelilović-Vranić
Affiliation:
Neurology Clinic, Clinical Center of Sarajevo University
Eldina Osmanagić
Affiliation:
Radiology Diagnostic Center-Sarajevo, Bolnicka 25, 71000 Sarajevo, Bosnia and Herzegovina, E-mail: [email protected]
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Abstract

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Type
Posters – Neurology
Information
Acta Neuropsychiatrica , Volume 21 , Issue S2: Special Issue: Abstracts of 49th Neuropsychiatric Pula Congress, 17-20 June 2009, Pula, Croatia , June 2009 , pp. 81
Copyright
Copyright © 2009 John Wiley & Sons A/S

Introduction/Objectives:

Disorders of intracerebral hemodynamic as a result of atherosclerotic and arteriosclerotic changes are frequent cause of ischemic-thrombotic CVI. Goal is to present correlation of extra cranial and tanscranial Doppler in case of already developed ischemic CVI.

Participants, Materials/Methods:

In this study we analyzed 96 patients with ischemic CVI, according to thrombosis type, confirmed with CT scan.

Results:

Patients' age ranged from 45 to 76 sears, with 58 women and 38 men. Among risk factors, hypertension was present in 87%, Diabetes 32%, hyper lipids in 29%, and smoking in92% of patients. In the acute phase of CVI, with TCD method we recorded hypo perfusion in 79% of cases, and extra cranial color Doppler indicated narrowing of ACI above 50% and expressed atherosclerotic changes among 42% of patient, while in 18% ACI narrowing is not found up to 30% and in remaining 28% was without stenosis changes. In 3 cases there was a complete occlusion of ACI (2 on the right and 1 on the left side), and neurology deficit was from very mild to mild hemiparesis.

Conclusions:

Disorder of hemodynamic in intracranial part is not in complete correlation with the extra carotid part of circulation.