Breast abscesses

✍ Scribed by E. A. Benson; K. Narayanan; K. Rogers; J. H. Scholefield; J. L. Duncan

• Publisher: John Wiley and Sons
• Year: 1987
• Tongue: English
• Weight: 120 KB
• Volume: 74
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800740942

✦ Synopsis

Correspondence

on the contralateral side and poor intra-and extracranial collateral circulation.

For example, a 67-year-old woman with hypertension was referred to our carotid Doppler laboratory in 1982 with bilateral, asymptomatic cervical bruits. Serial carotid Dopp!er studies indicated rapid progression of stenosis in both arteries. The transcranial Doppler (EME TC2-64) with carotid compression test was used to evaluate the collateral circulation and the results indicated that, in both cerebral hemispheres, blood supply depended largely on the left carotid artery in which stenosis was rapidly progressing. This was confirmed by digital subtraction arteriography. Therefore, we recommended a left carotid endarterectomy in order to avoid a catastrophic stroke.

Transcranial Doppler is a useful diagnostic tool in identifying a high risk subgroup of patients with asymptomatic carotid stenosis where carotid endarterectomy is justified.