Abstract:
BACKGROUND AND PURPOSE:Embolic complications during ultrasound examinations are a rare cause of neurological deficits. The present case documents the occurrence of embolism by a nonobstructive compression maneuver during transcranial Doppler examination, resulting in a minor stroke. CASE DESCRIPTION:A 63-year-old man suffered from recurrent transient ischemic attacks. Duplex sonography showed a small echogenic plaque at the right carotid bifurcation. During transcranial Doppler studies with a reverberating compression maneuver of the right common carotid artery low in the neck, multiple emboli signals were detected, and the patient developed a left-sided hemiparesis with slurred speech. Funduscopy revealed cholesterol emboli in the inferior temporal arteriole of the right eye. These findings suggested embolization as the cause of the stroke. CONCLUSIONS:Compression maneuvers should not be performed in patients with recent neurological symptoms, even in the case of only small lesions in the extracranial carotid territory.
journal_name
Strokejournal_title
Strokeauthors
Khaffaf N,Karnik R,Winkler WB,Valentin A,Slany Jdoi
10.1161/01.str.25.5.1056subject
Has Abstractpub_date
1994-05-01 00:00:00pages
1056-7issue
5eissn
0039-2499issn
1524-4628journal_volume
25pub_type
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