[Scanner and carotid artery surgery].

J Mal Vasc

Clinique du Mont-Louis, Paris.

Published: April 1988

AI Article Synopsis

  • The study analyzed CT scan imaging effectiveness in 57 patients with suspected carotid artery-related strokes.
  • A low-density image was found in 38.5% of cases, while silent infarcts were detected in 13.6%.
  • CT scans are essential for assessing patient needs, guiding treatment options, and identifying critical conditions like cerebral tumors or severe infarctions.

Article Abstract

The utility of CT scan imaging in patients with hemispheric cerebrovascular accidents suspected of being of carotid artery origin was investigated by analysis of case reports of 57 patients treated recently. A low density image was found in 38.5% of cases, superficial and deep localizations being of equal number. A silent infarct was detected in 13.6% of the patients and a meningioma was able to be diagnosed by the scanner. CT scan imaging is indispensable for care of these patients: --dissuasive in case of cerebral tumor, severe infarction or extensive cerebral destruction; --persuasive in case of major carotid artery lesions and/or those threatening with normal scanner image. Carotid artery surgery can then protect cerebral capital; --directive in case of "watershed" infarct, of enhancement, of silent infarct or an occurring accident. In all such cases, it appears indispensable.

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