Noninvasive detection of occlusive disease of the carotid siphon and middle cerebral artery.

Abstract:

:Recently, transcranial Doppler sonography has been introduced into clinical practice for noninvasive investigation of the large intracranial arteries. To determine its accuracy for detection of stenosing or occluding lesions, 133 consecutive patients were studied by both transcranial Doppler sonography and selective cerebral arteriography. Statistical analysis of findings was done separately for various arterial segments. High values for sensitivity and specificity were found for detecting obstruction of the carotid siphon and main stem of the middle cerebral artery. Diagnostic reliability of transcranial Doppler sonography was also confirmed by the calculation of a chance-corrected measure of agreement (kappa), which was close to + 1 in all subanalyses. Transcranial Doppler sonography seems to be a valuable tool for noninvasive detection of intracranial lesions of the middle cerebral artery and carotid siphon.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Ley-Pozo J,Ringelstein EB

doi

10.1002/ana.410280507

subject

Has Abstract

pub_date

1990-11-01 00:00:00

pages

640-7

issue

5

eissn

0364-5134

issn

1531-8249

journal_volume

28

pub_type

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