Hemodynamic Assessment of Cervical Internal Carotid Artery Stenosis During Head Manipulation: Case Report
Positional intermittent carotid ischemia has rarely been reported in the literature. We report a case of fluctuating hemiparesis in a 88-year-old woman in whom transcranial Doppler ultrasonography at various head positions proved useful in establishing the mechanism of the hypoperfusion transient is...
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| Veröffentlicht in: | Journal of stroke and cerebrovascular diseases 2011-09, Vol.20 (5), p.479-481 |
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| container_end_page | 481 |
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| container_issue | 5 |
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| container_title | Journal of stroke and cerebrovascular diseases |
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| creator | Sebastian, Joseph, MD Derksen, Carol, RN, RVT Khan, Khurshid, MD, FRCPC Saqqur, Maher, MD, FRCPC |
| description | Positional intermittent carotid ischemia has rarely been reported in the literature. We report a case of fluctuating hemiparesis in a 88-year-old woman in whom transcranial Doppler ultrasonography at various head positions proved useful in establishing the mechanism of the hypoperfusion transient ischemic attack. Head rotation to the side of the stenotic internal carotid artery resulted in significant drop in ipsilateral middle cerebral artery mean flow velocity. |
| doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2010.02.009 |
| format | Article |
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We report a case of fluctuating hemiparesis in a 88-year-old woman in whom transcranial Doppler ultrasonography at various head positions proved useful in establishing the mechanism of the hypoperfusion transient ischemic attack. Head rotation to the side of the stenotic internal carotid artery resulted in significant drop in ipsilateral middle cerebral artery mean flow velocity.</description><identifier>ISSN: 1052-3057</identifier><identifier>EISSN: 1532-8511</identifier><identifier>DOI: 10.1016/j.jstrokecerebrovasdis.2010.02.009</identifier><identifier>PMID: 20656509</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged, 80 and over ; Blood Flow Velocity ; Cardiovascular ; Carotid Artery, Internal - diagnostic imaging ; Carotid Artery, Internal - physiopathology ; Carotid Stenosis - complications ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - physiopathology ; Cerebral Angiography ; Cerebrovascular Circulation ; Female ; Head Movements ; Hemodynamics ; Humans ; Ischemic Attack, Transient - diagnostic imaging ; Ischemic Attack, Transient - etiology ; Ischemic Attack, Transient - physiopathology ; middle cerebral artery ; Neurology ; Paresis - etiology ; Paresis - physiopathology ; Patient Positioning ; Predictive Value of Tests ; Recurrence ; Rotation ; transcranial Doppler ultrasonography ; Transient ischemic attack ; Ultrasonography, Doppler, Transcranial</subject><ispartof>Journal of stroke and cerebrovascular diseases, 2011-09, Vol.20 (5), p.479-481</ispartof><rights>National Stroke Association</rights><rights>2011 National Stroke Association</rights><rights>Copyright © 2011 National Stroke Association. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-cd7dbaa8e8ab16f9ffd5608d11cb22f22347e9577aa404433bbe709bfa3a330b3</citedby><cites>FETCH-LOGICAL-c458t-cd7dbaa8e8ab16f9ffd5608d11cb22f22347e9577aa404433bbe709bfa3a330b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1052305710000534$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20656509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sebastian, Joseph, MD</creatorcontrib><creatorcontrib>Derksen, Carol, RN, RVT</creatorcontrib><creatorcontrib>Khan, Khurshid, MD, FRCPC</creatorcontrib><creatorcontrib>Saqqur, Maher, MD, FRCPC</creatorcontrib><title>Hemodynamic Assessment of Cervical Internal Carotid Artery Stenosis During Head Manipulation: Case Report</title><title>Journal of stroke and cerebrovascular diseases</title><addtitle>J Stroke Cerebrovasc Dis</addtitle><description>Positional intermittent carotid ischemia has rarely been reported in the literature. We report a case of fluctuating hemiparesis in a 88-year-old woman in whom transcranial Doppler ultrasonography at various head positions proved useful in establishing the mechanism of the hypoperfusion transient ischemic attack. Head rotation to the side of the stenotic internal carotid artery resulted in significant drop in ipsilateral middle cerebral artery mean flow velocity.</description><subject>Aged, 80 and over</subject><subject>Blood Flow Velocity</subject><subject>Cardiovascular</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Artery, Internal - physiopathology</subject><subject>Carotid Stenosis - complications</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - physiopathology</subject><subject>Cerebral Angiography</subject><subject>Cerebrovascular Circulation</subject><subject>Female</subject><subject>Head Movements</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Ischemic Attack, Transient - diagnostic imaging</subject><subject>Ischemic Attack, Transient - etiology</subject><subject>Ischemic Attack, Transient - physiopathology</subject><subject>middle cerebral artery</subject><subject>Neurology</subject><subject>Paresis - etiology</subject><subject>Paresis - physiopathology</subject><subject>Patient Positioning</subject><subject>Predictive Value of Tests</subject><subject>Recurrence</subject><subject>Rotation</subject><subject>transcranial Doppler ultrasonography</subject><subject>Transient ischemic attack</subject><subject>Ultrasonography, Doppler, Transcranial</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkk2LFDEQhhtR3HX1L0hugtCz-ej0hwdhdvyYhRHB1XNIJ9WS2e5kTKUH5t-bZlYPixdzSVE89Rb1VhXFW0ZXjLL6er_aY4rhHgxE6GM4arQOV5xmgPIVpd2T4pJJwctWMvY0x1TyUlDZXBQvEPeUMiZb-by44LSWtaTdZeG2MAV78npyhqwRAXECn0gYyAbi0Rk9klufIPocbHQMyVmyjjlxIncJfECH5MMcnf9JtqAt-aK9O8yjTi74d7kCgXyDQ4jpZfFs0CPCq4f_qvjx6eP3zbbcff18u1nvSlPJNpXGNrbXuoVW96weumGwsqatZcz0nA-ci6qBTjaN1hWtKiH6Hhra9YMWWgjai6vizVn3EMOvGTCpyaGBcdQewoyqbVvaLfNn8uZMmhgQIwzqEN2k40kxqhbH1V79y3G1OK4oV9nxLPL6od3cT2D_SvyxOAO7MwB56KODqNA48Aasi2CSssH9X7_3j-TM6Pyyp3s4Ae7DvKwKFVOYC9TdcgPLCTCanxSV-A1W4bcr</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Sebastian, Joseph, MD</creator><creator>Derksen, Carol, RN, RVT</creator><creator>Khan, Khurshid, MD, FRCPC</creator><creator>Saqqur, Maher, MD, FRCPC</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Hemodynamic Assessment of Cervical Internal Carotid Artery Stenosis During Head Manipulation: Case Report</title><author>Sebastian, Joseph, MD ; 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| ispartof | Journal of stroke and cerebrovascular diseases, 2011-09, Vol.20 (5), p.479-481 |
| issn | 1052-3057 1532-8511 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged, 80 and over Blood Flow Velocity Cardiovascular Carotid Artery, Internal - diagnostic imaging Carotid Artery, Internal - physiopathology Carotid Stenosis - complications Carotid Stenosis - diagnostic imaging Carotid Stenosis - physiopathology Cerebral Angiography Cerebrovascular Circulation Female Head Movements Hemodynamics Humans Ischemic Attack, Transient - diagnostic imaging Ischemic Attack, Transient - etiology Ischemic Attack, Transient - physiopathology middle cerebral artery Neurology Paresis - etiology Paresis - physiopathology Patient Positioning Predictive Value of Tests Recurrence Rotation transcranial Doppler ultrasonography Transient ischemic attack Ultrasonography, Doppler, Transcranial |
| title | Hemodynamic Assessment of Cervical Internal Carotid Artery Stenosis During Head Manipulation: Case Report |
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