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Lagos-Grinstein, R.; Fernández-Cisneros, L.; Murillo-Cabezas, F.; Blanco García-Barroso, S.; Cejas-Archidamo, C.; Nobo-López, U.; Ameriso-Martínez, S.F. "Ultrasonography in diagnosis and monitoring of dissection of cervicocerebral arteries " (2004) Revista de Neurologia. 38(9):813-817
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Abstract:

Introduction. Ultrasonography has become part of the arsenal of diagnostic methods available for examining the dissection of cerebral blood vessels (DCV). Aims. To analyse the value of ultrasonography in the diagnosis and monitoring of DCV. Patients and methods. We conducted a consecutive study of 67 patients with a history and clinical manifestations compatible with DCV; all of them were given confirmation of their diagnosis by another reference method (digital angiography or MR angiography) during the 48 hours prior to or following the ultrasound study. The ultrasonography was carried out on the neck and skull as per the usual system using continuous Doppler, neck duplex and transcranial Doppler ultrasonography. Ultrasound diagnosis of the dissection was based on direct and indirect signs, in the absence of an atheroma plaque. The following were considered to be direct signs: haematoma in the wall of the vessel, flap, local increase in flow velocity and echograms with split systole. Indirect signs were: haemodynamic alterations proximal to the dissection, a pattern of slow flow and high resistance. Transcranial Doppler showed the findings lying distal to the dissection to be a lowered mean velocity and pulsatility. Results. The ultrasonography of the series revealed direct signs in 46 patients (69%) and indirect signs in 21 (31%). Ultrasonography was used as the primary diagnostic method in 29 (43%) patients; in the other 38 (57%) it was employed to verify the diagnosis or for the follow-up. All the ultrasound diagnoses were confirmed using digital angiography (21 cases) or magnetic resonance angiography (46 cases). Conclusions. Due to its harmlessness, ultrasonography may be the first examination used to establish a probable diagnosis of DVC.

Registro:

Documento: Artículo
Título:Ultrasonography in diagnosis and monitoring of dissection of cervicocerebral arteries
Autor:Lagos-Grinstein, R.; Fernández-Cisneros, L.; Murillo-Cabezas, F.; Blanco García-Barroso, S.; Cejas-Archidamo, C.; Nobo-López, U.; Ameriso-Martínez, S.F.
Filiación:Inst. Invest. Neurol. Dr. R. Carrea, FLENI, Buenos Aires, Argentina
Facultad de Ciencias Exactas, Universidad de Buenos Aires, Buenos Aires, Argentina
Serv. de Cuidados Criticos/Urgencias, Hosp. Universitario Virgen del Rocio, Sevilla, Spain
Departamento de Doppler, FLENI, Montañeses 2325, (I428) Buenos Aires, Argentina
Palabras clave:Carotid dissection; Colour duplex ultrasonography; Digital angiography; Magnetic resonance angiography; Transcranial Doppler; Ultrasonography; adult; artery dissection; article; atheroma; blood flow velocity; brain blood vessel; clinical feature; color ultrasound flowmetry; diagnostic value; digital subtraction angiography; Doppler echography; echography; female; hemodynamics; human; magnetic resonance angiography; major clinical study; male; patient monitoring; pulsatile flow; systole; Adult; Carotid Arteries; Carotid Artery Diseases; Carotid Artery, Internal, Dissection; Cerebral Angiography; Female; Hemodynamic Processes; Humans; Male; Middle Aged; Retrospective Studies; Ultrasonography, Doppler, Transcranial
Año:2004
Volumen:38
Número:9
Página de inicio:813
Página de fin:817
Título revista:Revista de Neurologia
Título revista abreviado:Rev. Neurol.
ISSN:02100010
CODEN:RVNRA
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v38_n9_p813_LagosGrinstein

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Citas:

---------- APA ----------
Lagos-Grinstein, R., Fernández-Cisneros, L., Murillo-Cabezas, F., Blanco García-Barroso, S., Cejas-Archidamo, C., Nobo-López, U. & Ameriso-Martínez, S.F. (2004) . Ultrasonography in diagnosis and monitoring of dissection of cervicocerebral arteries . Revista de Neurologia, 38(9), 813-817.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v38_n9_p813_LagosGrinstein [ ]
---------- CHICAGO ----------
Lagos-Grinstein, R., Fernández-Cisneros, L., Murillo-Cabezas, F., Blanco García-Barroso, S., Cejas-Archidamo, C., Nobo-López, U., et al. "Ultrasonography in diagnosis and monitoring of dissection of cervicocerebral arteries " . Revista de Neurologia 38, no. 9 (2004) : 813-817.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v38_n9_p813_LagosGrinstein [ ]
---------- MLA ----------
Lagos-Grinstein, R., Fernández-Cisneros, L., Murillo-Cabezas, F., Blanco García-Barroso, S., Cejas-Archidamo, C., Nobo-López, U., et al. "Ultrasonography in diagnosis and monitoring of dissection of cervicocerebral arteries " . Revista de Neurologia, vol. 38, no. 9, 2004, pp. 813-817.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v38_n9_p813_LagosGrinstein [ ]
---------- VANCOUVER ----------
Lagos-Grinstein, R., Fernández-Cisneros, L., Murillo-Cabezas, F., Blanco García-Barroso, S., Cejas-Archidamo, C., Nobo-López, U., et al. Ultrasonography in diagnosis and monitoring of dissection of cervicocerebral arteries . Rev. Neurol. 2004;38(9):813-817.
Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v38_n9_p813_LagosGrinstein [ ]