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November 1, 1990Annals of Neurology

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

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Why the study?

Does transcranial Doppler sonography accurately detect stenosing or occluding lesions of the carotid siphon and middle cerebral artery compared to selective cerebral arteriography in consecutive patients?

Population

133 consecutive patients undergoing investigation for stenosing or occluding lesions of the large…

Comparison

Transcranial Doppler sonography vs Selective cerebral arteriography

Design

Cross-sectional

Authors

JLJuan Ley‐PozoUniversity Hospital MünsterERE. Bernd RingelsteinUniversity of Münster

Discussion

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Overview

Offers a potential noninvasive option for detecting carotid siphon and MCA obstructions; leaves open confirmation in prospective cohorts before changing practice.

Structured PICO

Does transcranial Doppler sonography accurately detect stenosing or occluding lesions of the carotid siphon and middle cerebral artery compared to selective cerebral arteriography in consecutive patients?

P
Population
133 consecutive patients undergoing investigation for stenosing or occluding lesions of the large intracranial arteries
I
Intervention
Transcranial Doppler sonography
C
Comparator
Selective cerebral arteriography (reference standard)
O
Outcome
Accuracy (sensitivity and specificity) for detection of stenosing or occluding lesions of the carotid siphon and middle cerebral arterysurrogate

Transcranial Doppler sonography is a highly accurate and reliable noninvasive tool for detecting occlusive disease in the carotid siphon and middle cerebral artery.

Cite This Study

Ley‐Pozo et al. (1990) studied this question.

synapsesocial.com/papers/6a80ef82dc834c04ade194eahttps://doi.org/10.1002/ana.410280507
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Transcranial Doppler in cerebrovascular disease.1986 · 70 citations
  2. 2Assessment of intracranial hemodynamics in carotid artery disease by transcranial Doppler ultrasound1985 · 267 citations
  3. 3Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries1982 · 3,085 citations
  4. 4Quantitation of carotid stenosis with continuous-wave (C-W) Doppler ultrasound.1979 · 359 citations
  5. 5Measuring pairwise agreement among many observers1980 · 51 citations