Ultrasound diagnosis of cervical artery dissection.

Details

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State: Public
Version: Final published version
Serval ID
serval:BIB_3CF13E8F2AE1
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Ultrasound diagnosis of cervical artery dissection.
Journal
Frontiers of Neurology and Neuroscience
Author(s)
Benninger D.H., Baumgartner R.W.
ISSN
1660-4431 (Print)
ISSN-L
0300-5186
Publication state
Published
Issued date
2006
Volume
21
Pages
70-84
Language
english
Notes
Publication types: Journal Article ; ReviewPublication Status: ppublish
Abstract
Ultrasound allows the reliable exclusion of spontaneous dissection of the cervical internal carotid artery (sICAD) in patients with carotid territory ischemia. The possibility of falsely positive ultrasound findings indicates that cervical magnetic resonance imaging (MRI) and angiography must confirm ultrasonic suspicion of sICAD. The sensitivity of ultrasound for assessing sICAD which causes no carotid territory ischemia, but headache, neck pain, Horner syndrome, or palsy of the cranial nerves on the side of dissection is about 70%, and for identifying spontaneous dissection of the vertebral artery (sVAD) the sensitivity is 75-86%. The negative predictive value and specificity for ultrasound diagnosis of the latter two types of cervical artery dissection is unknown. Consequently, all patients with clinical suspicion of sICAD causing no ischemic event or sVAD should undergo cervical MRI and angiography. Ultrasound is useful for noninvasive monitoring of vessel recanalization and for determining the duration of antithrombotic therapy.
Keywords
Brain Ischemia/etiology, Brain Ischemia/physiopathology, Carotid Artery, Internal, Dissection/physiopathology, Carotid Artery, Internal, Dissection/ultrasonography, Cerebral Angiography/standards, Diagnostic Errors/prevention & control, False Negative Reactions, Humans, Magnetic Resonance Imaging/standards, Predictive Value of Tests, Ultrasonography, Doppler/methods, Ultrasonography, Doppler/standards, Vertebral Artery Dissection/physiopathology, Vertebral Artery Dissection/ultrasonography
Pubmed
Create date
08/10/2012 11:34
Last modification date
20/08/2019 14:33
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