Diagnosis of MCA-occlusion and monitoring of systemic thrombolytic therapy with contrast enhanced transcranial duplex-sonography

J Neuroimaging. 1999 Apr;9(2):99-101. doi: 10.1111/jon19999299.

Abstract

A case of a successful systemic thrombolysis of an acute middle carotid artery occlusion is reported. The case underlines the role of contrast-enhanced transcranial color-coded duplex sonography as a noninvasive technique for rapid diagnosis of vessel occlusion in acute stroke. The diagnostic potential of transcranial color-coded duplex sonography for indication and monitoring of intravenous systemic thrombolytic therapy is demonstrated.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Brain Ischemia / diagnostic imaging
  • Carotid Artery Diseases / diagnostic imaging*
  • Carotid Artery Diseases / drug therapy
  • Cerebral Arteries / diagnostic imaging
  • Cerebrovascular Circulation
  • Cerebrovascular Disorders / diagnostic imaging
  • Contrast Media*
  • Fibrinolytic Agents / therapeutic use
  • Follow-Up Studies
  • Humans
  • Image Enhancement*
  • Male
  • Middle Aged
  • Polysaccharides
  • Thrombolytic Therapy*
  • Thrombosis / diagnostic imaging*
  • Thrombosis / drug therapy
  • Tissue Plasminogen Activator / therapeutic use
  • Ultrasonography, Doppler, Duplex*
  • Ultrasonography, Doppler, Transcranial*

Substances

  • Contrast Media
  • Fibrinolytic Agents
  • Polysaccharides
  • SHU 508
  • Tissue Plasminogen Activator