Embolic stroke by compression maneuver during transcranial Doppler sonography.

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

Stroke

journal_title

Stroke

authors

Khaffaf N,Karnik R,Winkler WB,Valentin A,Slany J

doi

10.1161/01.str.25.5.1056

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

1056-7

issue

5

eissn

0039-2499

issn

1524-4628

journal_volume

25

pub_type

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