Carotid Angiographic Study of Cerebrovascular Accidents with Clinical Correlation
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 9
Abstract
Introduction: Early recognition of cerebrovascular accidents offer the possibility of stroke prevention. Simple clinical findings are helpful in distinguishing the type of stroke, but need for diagnostic imaging is an undeniable fact. Therefore, present study is taken into account to correlate the clinical features and carotid angiographic findings in cases of cerebrovascular accidents. Material and Methods: In the present study 35 patients above twenty years of age were taken up. There were twenty four males and eleven females. Mean age of the patients was 49.4 years. These patients had presented with neurological manifestations of sudden or gradual onset. All of them were subjected to percutaneaus carotid angiography. The help of other investigations was also taken. These patients were evaluated on the clinical proformas. Results: Percutaneous carotid angiography was successful in 82.86 % cases. It was observed that there was a correlation between the clinical diagnosis and carotid angiographic findings in 42.8% cases of cerebral vascular accidents. While only venous phases were available in 8.5 % cases. Occlusion or narrowing of vessels was observed in 37.14 % cases. Out of these in 22.84 % cases non filling of middle cerebral artery was demonstrated. It was observed that there was non filling of upper division 14.28 % and non filling of lower division in 5.71 % cases while complete occlusion was demonstrated in 2.8 %. In 8.5% cases partial or total occlusion or beaded appearance of internal carotid artery was found. Conclusion: Even though clinical characteristics are useful to differentiate stroke types during initial hospital visit, imaging remains a gold standard diagnostic method for cerebrovascular accidents. Nevertheless, in small district hospitals and centers, where imaging facilities are not available, these results can be applicable for patient management, treatment as well as timely referral to stroke center.
Authors and Affiliations
Abhiram Verma
Keywords
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