Ultrasound Evaluation of Early Changes in Arterial Dissection

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Only a small region of the arterial lumen can be evaluated at any one time. Discrete pulsed Doppler sample volume must be moved serially throughout the.

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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 167-168 (March 2010) DOI: 10.1016/j.jstrokecerebrovasdis.2009.03.015 Copyright © 2010 National Stroke Association Terms and Conditions

Figure 1 Diffusion-weighted magnetic resonance imaging showing acute ischemic stroke in the left middle cerebral artery territory. Journal of Stroke and Cerebrovascular Diseases 2010 19, 167-168DOI: (10.1016/j.jstrokecerebrovasdis.2009.03.015) Copyright © 2010 National Stroke Association Terms and Conditions

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 2010 19, 167-168DOI: (10.1016/j.jstrokecerebrovasdis.2009.03.015) Copyright © 2010 National Stroke Association Terms and Conditions