Stroke, Vol 20, 899-903, Copyright © 1989 by American Heart Association
EM Zanette, C Fieschi, L Bozzao, C Roberti, D Toni, C Argentino and GL Lenzi
We compared digital intra-arterial angiography and transcranial Doppler
sonography in acute cerebral ischemia as part of a wider study on a
continuous series of 48 patients with acute focal cerebral ischemia in the
carotid territory, observed within 4 hours of the onset of symptoms. The
most significant Doppler findings of the middle cerebral artery included no
detection of the artery when occlusion of the carotid siphon or the middle
cerebral artery at its origin was shown by angiography and reduced flow
velocities and asymmetry (symptomatic less than asymptomatic) when the
occlusion was located in the terminal tract of the middle cerebral artery
mainstem or in numerous terminal branches. Higher flow velocities in the
anterior cerebral artery or posterior cerebral artery, mostly in the
symptomatic hemisphere, often accompanied middle cerebral artery pathology,
probably indicating collateral compensatory pathways.
ARTICLES
Comparison of cerebral angiography and transcranial Doppler sonography in acute stroke
Department of Neurological Sciences, University La Sapienza, Rome, Italy.
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