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Ultrasound Evaluation of Early Changes in Arterial Dissection

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Presentation on theme: "Ultrasound Evaluation of Early Changes in Arterial Dissection"— Presentation transcript:

1 Ultrasound Evaluation of Early Changes in Arterial Dissection
Fabrizio Sallustio, MD, Silvia Di Legge, MD, PhD, Costanza Rossi, MD, Paolo Stanzione, MD  Journal of Stroke and Cerebrovascular Diseases  Volume 19, Issue 2, Pages (March 2010) DOI: /j.jstrokecerebrovasdis Copyright © 2010 National Stroke Association Terms and Conditions

2 Figure 1 Diffusion-weighted magnetic resonance imaging showing acute ischemic stroke in the left middle cerebral artery territory. Journal of Stroke and Cerebrovascular Diseases  , DOI: ( /j.jstrokecerebrovasdis ) Copyright © 2010 National Stroke Association Terms and Conditions

3 Figure 2 Serial ultrasound evaluation of left ICA dissection. On admission: intimal flap (arrowhead) with underlying isohypoechoic hematoma (arrow) and vessel occlusion (as shown by pulsed wave Doppler) (A). At 24hours later: initial vessel recanalization with appearance of double-lumen image (B). At 48hours later: high-grade stenosis at site of hematoma (persistence of double-lumen image is not shown) (C). At 3 and 6 days later: worsening of lumen narrowing with disappearing of double-lumen image (pulsed wave Doppler showed increased peak systolic velocities) (D). Nine days later: further worsening in lumen narrowing (E). Journal of Stroke and Cerebrovascular Diseases  , DOI: ( /j.jstrokecerebrovasdis ) Copyright © 2010 National Stroke Association Terms and Conditions


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