Abstract Background The additional information that transcranial Doppler can provide as part of a multimodal imaging protocol in many clinical settings has not been evaluated. Main body Transcranial is bedside procedure used to assess cerebral blood flow velocity via circulation and pulsatility index (PI). Many diseases lead vessels vasospasm subarachnoid hemorrhage trauma. Cerebral represented...

PURPOSE Recently developed interventional radiologic techniques, such as embolization with platinum coils, may induce thrombus formation within an aneurysm. The aim of the present study was to investigate the frequency of microemboli distal to untreated and treated cerebral aneurysms. METHODS Among a total of 110 patients treated with platinum coil embolization, 35 patients (27 women and eigh...

BACKGROUND AND PURPOSE Carotid artery stent placement (CAS) may be associated with clinically silent cerebral lesions. We prospectively evaluated the association of the number of solid cerebral microemboli during unprotected CAS with the frequency of silent cerebral lesions as detected by diffusion-weighted MR imaging (DWI). METHODS We performed multifrequency transcranial Doppler detection o...

Fat mobilization during cardiopulmonary bypass (CPB) is a recognized risk of the procedure. Intravascular mobilization of fat emboli subsequent to CPB has been implicated in some of its recognized pathophysiologies, particularly with regard to cerebral embolic injury. The aim of this study was to investigate whether fat mobilization is still a real issue in modern perfusion practice and to dete...

Background: Atrial myxoma is uncommon and may be associated with brief isolated ischemic events. We describe a patient with atrial myxoma and an incompletely evaluated ischemic stroke followed 1 year later with almost complete brain necrosis. Summary ofReport: A 63-year-old woman presented with a rapidly progressive illness resulting in coma within 24 hours from multiple myxomatous emboli. Cran...

The pathogenesis of stroke Stroke is a heterogeneous condition in which 85% is caused by arterial acute occlusion or ischaemic stroke and 15% blood vessel rupture or cerebral haemorrhage. Of those with ischaemic stroke, further heterogeneity is evident with cerebral ischaemia caused by artery-to-artery emboli, in situ small vessel disease or cardiac emboli. The underlying pathogenesis can usual...

BACKGROUND AND PURPOSE Transcranial Doppler can detect cerebral microemboli. These emboli may be a risk factor for embolic stroke. We studied the prevalence of microemboli in patients referred for echocardiography. METHODS Forty-two patients were evaluated. Patients were studied with continuous monitoring over one middle cerebral artery for 30 minutes, and the number of microemboli was record...

We studied 8 patients with cerebral infarction in the deep territory of the middle cerebral artery (MCA). All patients had a definite cardiac source of emboli and no known factors for thrombosis. Mixed sensory and motor deficit was found in all but one patient and CT scan showed larger lesions than usually reported in lacunar infarcts. Contrast enhancement was seen in all cases in which CT scan...