”SYMPTOMS”
On the arm, leg, face or half of the body
– Numbness, tingling
– Loss of strength
– Paralysis, slipped lip, erasing the trace
– Blurred vision and vision loss
– Difficulty speaking/inability to speak
– Tongue limp, inability to order words
– Inability to understand spoken words
– Dizziness and/or loss of balance
– Loss of consciousness
Although not fully realized, it can be in attacks. These attacks are considered “little paralysis” alarm bells. It can regress or be permanent. The most feared PERMANENT
After the age of 60 or in people with risk factors for atherosclerosis, examination for carotid artery occlusion should be performed. But first, look at the risk factors.
” RISK FACTORS ”
Risk factors:
1. Family Cardiovascular Disease
2. Family history of stroke/stroke
3. Diabetes
4. Hypertension
5. High Cholesterol
6. Obesity
7. Smoking
8. Still Life
9. Excessive Alcohol Consumption
If you have one or more of the risk factors, you should definitely have screening tests.
EXAMINATIONS
When you are examined by your doctor, you may hear a “murmur” on the carotid artery. This is a sound that occurs due to stenosis. It is the sound of blood trying to pass through the narrowing space.
Your doctor requests “Carotid Veins Ultrasound” apart from the known examinations. It should be done on both sides. If the result here shows narrowness, there are two options. The jugular veins are the arteries on both sides of the neck that feed the brain.
– MR or CT angiography
– Digital Angiography (DSA)
If significant stenosis is confirmed by these examinations, “Diffusion MRI” can be performed to see if intervention is needed. This examination shows the damage of lime particles that have gone to the brain without being aware of it. It is important.
IMPORTANT NOTE
Since carotid artery stenosis is included in Cardiovascular Diseases, these patients should definitely be examined in HEART VESSELS. In 15-20% of those who are found to have carotid artery stenosis, there may also be stenosis in the Cardiovascular Veins. Based on this fact, patients can be evaluated together with Cardiovascular angiography, which takes a short time, together with Cardiac Angio. It is important to see all the vessels in order not to miss an important stenosis. The rate given above was found to be much higher at 77% in a recent publication.
The results of all these examinations are evaluated by the Neurologist and Cardiovascular Surgeon. A decision is made for treatment.
Source
Sulženko J, Paluszek P, Machnik R, Widimský P, Jarkovský J, Pieniazek P. Prevalence predictors of coronary artery disease in patients undergoing carotid artery stenting. Corona Artery Dis. 2019 May;30(3):204-210.
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