Emiko Hisaeda, Hirofumi Shimada, T. Ogata, T. Higashi, T. Yamashita, A. Matsunaga, Tooru Inoue
{"title":"Evaluation before and after treatment of dural arteriovenous fistulas by carotid ultrasonography","authors":"Emiko Hisaeda, Hirofumi Shimada, T. Ogata, T. Higashi, T. Yamashita, A. Matsunaga, Tooru Inoue","doi":"10.2301/NEUROSONOLOGY.30.129","DOIUrl":"https://doi.org/10.2301/NEUROSONOLOGY.30.129","url":null,"abstract":"Dural arteriovenous fistula was examined by carotid ultrasonography (CUS) in five patients with cavernous sinus dural arteriovenous fistula (CS-dAVF) and 14 patients with transverse sigmoid sinus dural arteriovenous fistula (TS-dAVF). All 19 patients were diagnosed using digital subtraction angiography. CUS parameters, including the end-diastolic ratio of the common carotid artery (CCA-ED ratio), end-diastolic flow velocity of the external carotid artery (ECA EDV), and the resistance index of the external carotid artery (ECA RI), were examined before and after treatment of CS-dAVF and TS-dAVF. A comparison of the CUS parameters before treatment showed increases in the CCA-ED ratio and ECA EDV and a decrease in the ECA RI in TS-dAVF patients. After treatment, the difference in the changes in TS-dAVF vs. CS-dAVF patients was significant. Thus, compared with before treatment, the CCA-ED ratio (pre: 1.80 vs. post: 1.38, p = 0.005) and ECA EDV (cm/s) (54.4 vs. 29.9, p = 0.001) decreased significantly in TS-dAVF patients, whereas the ECA RI was significantly higher in both TS-dAVF (0.60 vs. 0.72, p = 0.005) and CS-dAVF (0.76 vs. 0.85, p = 0.043) patients. These results demonstrated the utility of CUS in estimating the therapeutic effect of dAVF, especially in patients with TS-dAVF. dural arteriovenous fistula (dAVF), cavernous sinus dural arteriovenous fistula (CS-dAVF), transverse sigmoid sinus dural arteriovenous fistula (TS-dAVF), resistance index (RI)","PeriodicalId":40206,"journal":{"name":"Neurosonology and Cerebral Hemodynamics","volume":"291 1","pages":"129-132"},"PeriodicalIF":0.1,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76312689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Tsukahara, H. Takekawa, Keisuke Suzuki, Shigeru Toyoda, A. Suzuki, A. Iwasaki, K. Iizuka, H. Igarashi, R. Okabe, K. Hirata
{"title":"Utility of chest X-ray in predicting left atrium dimension and brain natriuretic peptide","authors":"Y. Tsukahara, H. Takekawa, Keisuke Suzuki, Shigeru Toyoda, A. Suzuki, A. Iwasaki, K. Iizuka, H. Igarashi, R. Okabe, K. Hirata","doi":"10.2301/neurosonology.30.38","DOIUrl":"https://doi.org/10.2301/neurosonology.30.38","url":null,"abstract":"Objective: Detection of paroxysmal atrial fibrillation (PAF) in patients with acute stroke is often difficult. Dilatation of left atrium dimension (LAD) and increased levels of brain natriuretic peptide (BNP) are reported to indicate cerebral embolism due to PAF. We assessed the usefulness of chest X-ray in predicting LAD and BNP among patients with acute cerebral infarction. Methods: We included 141 consecutive patients with cerebral infarction [107 cerebral thromboses (cerebral thrombosis group)] and 34 cardiogenic cerebral embolisms due to PAF (PAF group). Transthoracic echocardiography (TTE) was used to evaluate LAD (TTE-LA). On chest X-ray, heart diameter at the third aortic arch (XPLA) and XP-LA divided by maximum intrathoracic diameter (XP-LA ratio) were measured. Results: TTE-LA, XP-LA, XP-LA ratio and BNP levels were significantly higher in PAF group compared with those in cerebral thrombosis group. XP-LA had a significant positive correlation with TTE-LA (r = 0.332, p < 0.0001) and BNP (r = 0.292, p < 0.001). XP-LA ratio also showed a significant correlation with TTE-LA (r = 0.210, p = 0.0126) and BNP (r = 0.515, p < 0.0001). Conclusion: We suggest chest X-ray is a simple and useful tool for predicting LAD and BNP.","PeriodicalId":40206,"journal":{"name":"Neurosonology and Cerebral Hemodynamics","volume":"95 1","pages":"38-42"},"PeriodicalIF":0.1,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78176436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shinji Kume, T. Matsushige, S. Hama, S. Sakamoto, T. Okazaki, J. Ohshita, Daizo Ishii, S. Mizuguchi, Z. Soh, T. Tsuji, K. Kurisu
{"title":"Analysis of movement of carotid artery using template matching","authors":"Shinji Kume, T. Matsushige, S. Hama, S. Sakamoto, T. Okazaki, J. Ohshita, Daizo Ishii, S. Mizuguchi, Z. Soh, T. Tsuji, K. Kurisu","doi":"10.2301/NEUROSONOLOGY.30.139","DOIUrl":"https://doi.org/10.2301/NEUROSONOLOGY.30.139","url":null,"abstract":"Purpose : To understand the wall movement of the carotid artery (CA) is crucial for evaluating mobile plaques with Jellyfish sign. The authors hypothesized that CA may move not only vertically to vessel wall synchronized with pulsation but also parallel by the CA itself. The aim of this study is to analyze the movement of the CA. Methods : Thirty patients with CA stenosis were investigated between November 2016 and January 2017. The region of interest (ROI) was settled in plaques of common CA (CCA) and internal CA (ICA) wall. The total movement of ROIs of CCA and ICA was measured by the template matching technique (free software by Intel Corporation). Results : Overall 47 vessels with 104 lesions (CCA: 76, ICA: 28) were evaluated. The ROIs of the CCA and ICA moved not only a vertically but also parallel to vessel wall. Furthermore, the movement of ROIs of the CCA was found to be larger than that of ICA (6.3 ± 0.4 mm vs. 4.6 ± 0.4 mm, p = 0.016). Conclusion : The carotid artery moves vertically and in cranio-caudal direction as well.","PeriodicalId":40206,"journal":{"name":"Neurosonology and Cerebral Hemodynamics","volume":"21 1","pages":"139-143"},"PeriodicalIF":0.1,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90806656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Igarashi, R. Okabe, M. Okamura, H. Takekawa, Keisuke Suzuki, K. Iizuka, Y. Tsukahara, Takahito Nishihira, A. Suzuki, A. Iwasaki, K. Hirata
{"title":"Influence of Doppler angle on peak systolic velocity for diagnosis of internal carotid artery stenosis","authors":"H. Igarashi, R. Okabe, M. Okamura, H. Takekawa, Keisuke Suzuki, K. Iizuka, Y. Tsukahara, Takahito Nishihira, A. Suzuki, A. Iwasaki, K. Hirata","doi":"10.2301/NEUROSONOLOGY.30.8","DOIUrl":"https://doi.org/10.2301/NEUROSONOLOGY.30.8","url":null,"abstract":"","PeriodicalId":40206,"journal":{"name":"Neurosonology and Cerebral Hemodynamics","volume":"29 1","pages":"8-12"},"PeriodicalIF":0.1,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81874068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Basic neuromuscular ultrasound for beginners","authors":"N. Takamatsu, H. Hamaguchi, H. Nodera","doi":"10.2301/NEUROSONOLOGY.30.120","DOIUrl":"https://doi.org/10.2301/NEUROSONOLOGY.30.120","url":null,"abstract":"Neuromuscular ultrasound is one of the fastest growing areas. Due to the close anatomical relationship, vascular sonographers should have seen nerve structures during their routine studies. In this review, brief technical com-ments are provided for “novice” neuromuscular sonographers, in order to depict major peripheral nerves. Fur-thermore, images show characteristic sonographic changes in various neuromuscular diseases.","PeriodicalId":40206,"journal":{"name":"Neurosonology and Cerebral Hemodynamics","volume":"17 1","pages":"120-128"},"PeriodicalIF":0.1,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89304293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Nishino, M. Nakamori, H. Matsushima, Y. Maetani, Kanami Ogawa, Masako Kurose, Akiko Hirata, E. Imamura, S. Wakabayashi
{"title":"Carotid ultrasonography and ankle-brachial pressure index contribute to the diagnosis of aortogenic cerebral embolism","authors":"M. Nishino, M. Nakamori, H. Matsushima, Y. Maetani, Kanami Ogawa, Masako Kurose, Akiko Hirata, E. Imamura, S. Wakabayashi","doi":"10.2301/NEUROSONOLOGY.30.133","DOIUrl":"https://doi.org/10.2301/NEUROSONOLOGY.30.133","url":null,"abstract":"Purpose: Carotid ultrasonography and ankle-brachial pressure index (ABI)/brachial-ankle pulse wave velocity (baPWV) tests are useful for evaluating systemic vessels, but their contribution to the diagnosis of stroke subtypes is unknown. Methods: We included consecutive 183 patients of brain infarction on which both carotid ultrasonography and ABI/baPWV was performed from July 2014 to June 2015. We evaluated the mean/max intima-media thickness (IMT), plaque score, LDL cholesterol, HDL cholesterol, D-dimer, NT-proBNP, eGFR, HbA1c, and ABI/ baPWV. In ABI, we used the lower side of the ankle and divided into two groups: ABI < 0.9 and ABI ≥ 0.9. In baPWV, we used the higher side and divided into two groups: baPWV > 1,983cm/s and baPWV ≤ 1,983cm/s. Results: Among the 99 patients diagnosed with cardioembolic infarction, atherothrombotic infarction, or lacunar infarction, neither carotid ultrasonography nor ABI/baPWV was associated with stroke subtypes. However, among the 84 patients diagnosed with an unclassified or other etiology, 9 were diagnosed with aortogenic cerebral embolism. A multivariate analysis showed that aortogenic cerebral embolism was significantly associated with the mean IMT and ABI. Conclusion: Among unclassified or other etiology stroke patients, mean IMT and ABI are suggested for the diagnosis of aortogenic cerebral embolism.","PeriodicalId":40206,"journal":{"name":"Neurosonology and Cerebral Hemodynamics","volume":"213 1","pages":"133-138"},"PeriodicalIF":0.1,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76134013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Takeo Sato, Y. Terasawa, Hidetaka Mitsumura, Maki Tanabe, Y. Iguchi
{"title":"Utility of Superb Micro-vascular Imaging (SMI) for evaluating morphological change after carotid artery stenting","authors":"Takeo Sato, Y. Terasawa, Hidetaka Mitsumura, Maki Tanabe, Y. Iguchi","doi":"10.2301/NEUROSONOLOGY.30.35","DOIUrl":"https://doi.org/10.2301/NEUROSONOLOGY.30.35","url":null,"abstract":"","PeriodicalId":40206,"journal":{"name":"Neurosonology and Cerebral Hemodynamics","volume":"179 1","pages":"35-37"},"PeriodicalIF":0.1,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77871715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}