Objective: to study the results of ultrasonic diagnosis in cerebral spinal interbody cloning with the clinical consequences of heart attack. Methods: in this study, 43 patients were used to diagnose cerebral spinal in...Objective: to study the results of ultrasonic diagnosis in cerebral spinal interbody cloning with the clinical consequences of heart attack. Methods: in this study, 43 patients were used to diagnose cerebral spinal insufficiency and were treated in our hospital from November 2018 to November 2020. As a research group and 43 healthy people of the same age, this is the same during the physical examination when they came to the institute. For the ultrasound diagnosis of patients, the differences in the index of hemorrhage in the carotid artery were compared, and the ultrasound of atherosclerosis diagnosis. Results: among 43 patients measured by carotid artery ultrasound, 37 cases of carotid artery atherosclerosis were identified, which was 86.05%, which was significantly higher than the 20.93% index of the control group. The maximum flow velocity during cleaning in the study group was 65.2±2.4 cm/s, which was significantly lower than that in the control group. The mean membrane thickness in the study group was (1.32 ±0.7) mm, which was much higher than that in the control group. Conclusions: in clinical diagnosis of cerebral atherosclerosis and cerebral infarction, the use of ultrasound diagnosis, enables you to better identify patients with pathological part, improve the diagnostic accuracy, reduce the number of leakage box, ensure the outpatient treatment more reliable basic diseases, so as to improve the efficiency of the treatment of related diseases and quality, is worth encouraging clinical treatment.展开更多
The degree of vessel lumen narrowing is an independent predictor of ischemic stroke. New developments in carotid plaque morphology imaging (MR, CT), may bring new insights to the relationship between carotid atheroscl...The degree of vessel lumen narrowing is an independent predictor of ischemic stroke. New developments in carotid plaque morphology imaging (MR, CT), may bring new insights to the relationship between carotid atherosclerotic disease and stroke risk. Our aim is to review the stroke risk in a symptomatic patient with moderate carotid stenosis by CT imaging and histopathology. A 72-year-old patient with low ABCD2 scores TIA and moderate left internal carotid stenosis (50% by carotid ultrasound), was discharged with an optimized medical therapy. Four months later, he presented an ischemic stroke in the left frontal area. Carotid angiography showed a 60% stenosis in the left-internal carotid artery with a regular surface. CT plaque imaging detected a thin fibrous cap with calcification and an intraplaque hemorrhage (high-risk plaque). These findings were confirmed in the histolopathological study of the atherosclerotic plaque performed after the endarterectomy. After 1 year of follow-up, the patient returned independently to his daily activities. We propose, in this study, the inclusion of noninvasive plaque imaging in the evaluation of acute TIA with moderate carotid stenosis to better select patients with higher risk of stroke recurrence.展开更多
文摘Objective: to study the results of ultrasonic diagnosis in cerebral spinal interbody cloning with the clinical consequences of heart attack. Methods: in this study, 43 patients were used to diagnose cerebral spinal insufficiency and were treated in our hospital from November 2018 to November 2020. As a research group and 43 healthy people of the same age, this is the same during the physical examination when they came to the institute. For the ultrasound diagnosis of patients, the differences in the index of hemorrhage in the carotid artery were compared, and the ultrasound of atherosclerosis diagnosis. Results: among 43 patients measured by carotid artery ultrasound, 37 cases of carotid artery atherosclerosis were identified, which was 86.05%, which was significantly higher than the 20.93% index of the control group. The maximum flow velocity during cleaning in the study group was 65.2±2.4 cm/s, which was significantly lower than that in the control group. The mean membrane thickness in the study group was (1.32 ±0.7) mm, which was much higher than that in the control group. Conclusions: in clinical diagnosis of cerebral atherosclerosis and cerebral infarction, the use of ultrasound diagnosis, enables you to better identify patients with pathological part, improve the diagnostic accuracy, reduce the number of leakage box, ensure the outpatient treatment more reliable basic diseases, so as to improve the efficiency of the treatment of related diseases and quality, is worth encouraging clinical treatment.
文摘The degree of vessel lumen narrowing is an independent predictor of ischemic stroke. New developments in carotid plaque morphology imaging (MR, CT), may bring new insights to the relationship between carotid atherosclerotic disease and stroke risk. Our aim is to review the stroke risk in a symptomatic patient with moderate carotid stenosis by CT imaging and histopathology. A 72-year-old patient with low ABCD2 scores TIA and moderate left internal carotid stenosis (50% by carotid ultrasound), was discharged with an optimized medical therapy. Four months later, he presented an ischemic stroke in the left frontal area. Carotid angiography showed a 60% stenosis in the left-internal carotid artery with a regular surface. CT plaque imaging detected a thin fibrous cap with calcification and an intraplaque hemorrhage (high-risk plaque). These findings were confirmed in the histolopathological study of the atherosclerotic plaque performed after the endarterectomy. After 1 year of follow-up, the patient returned independently to his daily activities. We propose, in this study, the inclusion of noninvasive plaque imaging in the evaluation of acute TIA with moderate carotid stenosis to better select patients with higher risk of stroke recurrence.
