Title: Comparison of Extra cranial Carotid Duplex Doppler in Anterior Circulation Stroke and Non-Stroke Patients
Authors: Murali, Vinod, Jagadeep
DOI: https://dx.doi.org/10.18535/jmscr/v8i3.72
Abstract
Background: Cerebrovascular disease is a life threatening and debilitating neurological disease with significant morbidity
Aims & Objectives: To compare the common carotid artery intima media thickness in patients with anterior circulation stroke with non-stroke patients.
Materials and Methods: All patients with CT/ MRI proven anterior circulation stroke and who full fill inclusion criteria.
Non stroke patients who come for USG neck will be taken as the comparison group.
Results: CAIMT is a reliable independent marker for the early detection of atherosclerosis. Plaque characteristics determined the incidence of infarcts in case group rather than degree of stenosis in the internal carotid arteries. Prevalence of severe stenosis (>70%) was low while the prevalence of mild stenosis (< 50%) in the case group was statistically high. Stenosis was more profound in terms of frequency and severity in men at all ages than women.
Conclusion: Carotid Doppler is a cost effective, non- invasive technique to assess the carotids without radiation hazard but operator dependent. Easy availability with hemodynamic, anatomic information and directional blood flow helps in improved accuracy in quantifying stenosis.
