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Evaluation of extracranial carotid system with duplex scanner HR in hemiplegic patients
C Pistarini1, R Gibellini, F G Berzolari
1Fondazione Clinica del Lavoro, Centro Medico di Riabilitazione di Montescano, Pavia.
Abstract:
The aim of this work is to study extracranial carotid lesions and their relation to some risk factors for atherosclerosis, in a large group of hemiplegic patients during rehabilitation treatment. The results indicate that in patients with stabilized ischemic stroke there is a high percentage of positive Duplex Scanner examination. However, the presence of negative patients with hemiplegia leads us, in this case, to look for a carotid lesion placed higher up. The high presence of bilateral atherosclerotic lesions also shows that atherosclerosis is not only a local process. The clinical event may be caused by the type of carotid lesion (as demonstrated by thrombosis or carotid lesions with superficial ulceration contralateral to the hemiplegia).