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Stroke, Vol 19, 813-819, Copyright © 1988 by American Heart Association

ARTICLES

Cerebral blood flow asymmetry in the detection of extracranial cerebrovascular disease

WM Robertson, KM Welch, BC Tilley and JR Ewing
Department of Neurology, Henry Ford Hospital, Detroit, Michigan.

Regional cerebral blood flow was measured by the 133Xe inhalation technique in patients with unilateral carotid occlusion, unilateral carotid occlusion and contralateral carotid stenosis, bilateral carotid occlusion, or normal arteriograms. After adjusting for age, sex, and history of stroke, hemispheric blood flow asymmetry was shown to be a predictor of unilateral carotid occlusion with a sensitivity of 80.6% and a specificity of 80.5%. Asymmetry of regional cerebral blood flow is useful in the assessment of patients with extracranial cerebrovascular disease.

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