453-127 | Transcranial Doppler Ultrasound Pre and Post Middle Cerebral Artery Stent Placement-Transcranial Doppler Ultrasound Pre and Post Middle Cerebral Artery Stent Placement

Transcranial Doppler Ultrasound Pre and Post Middle Cerebral Artery Stent Placement

Pdf Summary

This case report discusses a 42-year-old male with a history of transient ischemic attacks (TIAs), migraines, previous strokes, and symptoms related to the left middle cerebral artery (MCA) territory. Imaging tests revealed severe stenosis in the proximal left MCA and proximal left anterior cerebral artery (ACA). Transcranial Doppler ultrasound (TCD) and cerebral angiogram confirmed the stenosis. A stent was placed in the proximal left MCA to treat the stenosis. Follow-up TCD showed normal flow velocities in the proximal MCA, indicating no residual stenosis.<br /><br />Intracranial artery stenosis, such as MCA stenosis, can cause symptoms similar to extracranial carotid artery disease. TCD is useful in assessing intracranial arteries and can be part of a stroke workup. The decision to stent an intracranial artery stenosis remains controversial.<br /><br />The case report highlights the importance of TCD in the detection of intracranial arterial stenosis and for post-treatment follow-up. TCD is beneficial due to its low cost, noninvasive nature, and avoidance of ionizing radiation and radiographic contrast.<br /><br />Overall, this case report emphasizes the utility of TCD in assessing and monitoring intracranial artery stenosis and provides valuable insights into the treatment of MCA stenosis with a stent placement.

Keywords

case report

42-year-old male

transient ischemic attacks

migraines

previous strokes

left middle cerebral artery

proximal left anterior cerebral artery

stenosis

transcranial Doppler ultrasound

cerebral angiogram