Acute Decrease in Flow in the Right Middle Cerebral Artery Detected by Transcranial Doppler Following High-Intensity Transient Signals in a Patient With Carotid Artery Dissection. Issue 2 (June 2019)

• Record Type: Journal Article
• Authors: Burkman, Marilyn H.; Nicoletto, Heather A.; Loochtan, Aaron I.; Laskowitz, Daniel T.; Dodds, Jodi A.
• Is Part Of: Journal for vascular ultrasound. Volume 43:Issue 2(2019)
• Page Start: 76
• Page End: 80
• Publication Date: 2019-06
• Subjects: transcranial Doppler -- dissection -- emboli -- HITS -- middle cerebral artery -- internal carotid artery; Cardiovascular system -- Diseases -- Diagnosis -- Periodicals; Cardiovascular system -- Diseases -- Ultrasonic imaging -- Periodicals; Electronic journals; Periodicals; 616.1307543
• DOI: 10.1177/1544316719832701
• Languages: English
• ISSNs: 1544-3167

Abstract

We report a case of evolving multiple vascular dissections where transcranial Doppler with emboli monitoring provided evidence of hemodynamic compromise after microembolic high-intensity signals suggested a clinical change in a patient presenting with a single left carotid artery dissection and pseudoaneurysm. She initially presented with Horner syndrome and later developed signs of right-sided ischemia on maximal medical therapy necessitating carotid stenting.