Abstract | BACKGROUND: METHODS: A 37-year-old woman developed a right temporal headache 10 days prior to admission. This was followed by episodes of left arm numbness and weakness. Magnetic resonance imaging (MRI) showed a right frontal and deep subcortical ischemic infarct. Catheter angiography confirmed a right internal carotid artery dissection with intracranial extension. She was then monitored with TCD for MES before and after intravenous heparin was started. RESULTS: The first TCD, performed 12 days after symptom onset, showed 39 MES during 60 minutes of insonation of the right middle cerebral artery. Treatment with intravenous heparin resulted in a decline in MES by 50% after 96 hours. This decline continued and no further MES were detected after 11 days of anticoagulation. CONCLUSION:
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Authors | S Koch, J G Romano, I C Bustillo, M Concha, A M Forteza |
Journal | Journal of neuroimaging : official journal of the American Society of Neuroimaging
(J Neuroimaging)
Vol. 11
Issue 1
Pg. 63-6
(Jan 2001)
ISSN: 1051-2284 [Print] United States |
PMID | 11198532
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Adult
- Anticoagulants
(therapeutic use)
- Carotid Artery, Internal, Dissection
(complications, diagnosis, drug therapy)
- Embolism
(diagnosis, drug therapy)
- Female
- Heparin
(therapeutic use)
- Humans
- Magnetic Resonance Imaging
- Ultrasonography, Doppler, Transcranial
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