Volume : 7, Issue : 4, April - 2018

EVALUATION OF ASYMPTOMATIC CAROTID ARTERY STENOSIS IN PATIENT OF STROKE

Dr. Shashank Dixit, Dr Ajay Sharma

Abstract :

<p>&nbsp;<b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">AIMS AND OBJECTIVES </span></b><span style="font-size: 12pt; line-height: 115%; font-family: &quot;Times New Roman&quot;, serif;">To study the presence of carotid artery stenosis in cases presenting with stroke and&nbsp; to correlate the degree of stenosis with &nbsp;clinical profile &nbsp;and risk factors.</span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;Material and Methods:</span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> All the cases of cereovascularaccident were subjected to detail clinical history ,past history of diabetes mellitus, hypertension, previous history of stroke, ischemic heart disease and rhematic heart disease. History was also taken regarding smoking, alcoholism, oral contraceptives, gout and long history of migraine. Thorough physical examination and detailed neurological assessment was made in each cases..<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Result: </span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Internal carotid artery stenosis was observed in 64.28% cases of TIA (9 cases ), right ICA stenosis predominated over the left in the ratio of 2:1; stenosis was minimal to moderate. No patient had complete ICA occlusion in cases of TIA. So most of the patients of TIA had contralateral ICA stenosis, in the present study as it was expected and it supports the previous studies.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;</span></p> <p><b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-theme-font:minor-fareast;&#10;mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">Conclusion:</span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-theme-font:minor-fareast;&#10;mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA"> Internal Carotid Artery stenosis was predominantly seen in cases of ischaemic infarction and TIA. There had been good correlation in clinical profile, radiological evidence, hyperlipidemia as a risk and degree of diameter stenosis of internal carotid artery larger studies may be needed to confirm the result.</span></p>