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Stroke, Vol 21, 532-537, Copyright © 1990 by American Heart Association
M Kaps, MS Damian, U Teschendorf and W Dorndorf
We evaluated the efficacy of transcranial Doppler ultrasonography in 23
patients suffering from acute middle cerebral artery occlusion. The
diagnosis of occlusion was most suggestive when all basal arteries except
the affected middle cerebral artery were detectable. Enhanced blood flow
velocity in the anterior cerebral artery due to leptomeningeal
collateralization was used as a corroborating criterion. With frequent
follow-up examinations, we monitored reperfusion of the M1 segment
resulting from recanalization or embolus migration in 16 patients. Those
patients undergoing recanalization within days after onset of the first
symptoms revealed variable clinical courses and lesion patterns on computed
tomography, indicating the crucial importance of early and efficient
leptomeningeal collateral blood supply. Transcranial Doppler
ultrasonography was able to exclude middle cerebral artery occlusion with
accuracy, which provides important clinical information. However, distal
branch occlusions could not be detected with sufficient exactness.
ARTICLES
Transcranial Doppler ultrasound findings in middle cerebral artery occlusion
Department of Neurology, Justus-Liebig-Universitat Giessen, Federal Republic of Germany.
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