E-ISSN: 1309-5749 | ISSN: 1018-8681 | Join E-mail List | Contact | Twitter
1
2
Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2001; 4(14): 240-245
Full Text PDF Full Text PDF (Turkish)

Abstract

The results of cranial CT (Cranial Computerized Tomography) and MRI (Magnetic resonance imaging) of 25 patients with the diagnosis of ischemic cerebrovascular disease, after coronary by-pass operation that applied to SSK İstanbul Hospital, Neurology Department, between June 1999-July 2000: ıschemic enfarcts in right MCA (Middle Cerebral Artery) in two cases, left MCA in seven cases, right PCA (Posterior Cerebral Artery) in two cases, left ACA (Arterior Cerebral Artery) in one case; lacuner eafarct in nine cases, left thalamic enfarct in one case, left cerebellar enfarct in two cases, brain stem enfarct in two cases, enfarct in basal ganglions in three cases are seen.

At Cranial MR Angiografi; We determined different degrees of stenosis of left MCA in six cases, left ICA (Internal Carotid Artery) in three cases left PCA in four cases, right PCA in one case, left vertebral artery in five cases, right MCA in five cases and right ICA in four cases.

In doppler USG (Ultrasonography) of carotis-vertebral artery results; We determined 60-80 % right ICA stenosis in three cases, 40-50 % right ICA stenosis in three cases, 50-60 % right CCA (Comon Cerebral Artery) stenosis in one case, 0-10 % right ECA (External Carotid Artery) stenosis in one case, 60-80 % left ICA stenosis in two cases, about 100 % left ICA stenosis in two cases and 0-10 % left ICA stenosis in two cases. There were 1 case of which right vertebral artery wasn't seen and 3 cases of which left vertebral artery wasn't seen.

Results: We think that, cranial MR angiography and doppler USG of carotis-vertebral artery researches should be made in early postoperative period in patients who had coronary artery by-pass operation.


Koroner By-Pass Sonrası Gelişen İskemik Serebrovasküler Hastalıklarda Kranial MR Anjiografi, Karotis-Vertebral Arter Doppler USG Sonuçları
1SSK İstanbul Eğitim Hastanesi
2International Hospital Nöroloji Klinikleri
Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2001; 4(14): 240-245

SSK İstanbul Eğitim Hastanesi Nöroloji Kliniğine Haziran 1999 - Temmuz 2000 arasında müracaat eden koroner arter bypass operasyonu geçirmiş, iskemik serehrovasküler hastalık tanısı alan 25 hastanın; BBT (Bilgisayarlı Beyin Tomografisi) ve MRG (Manyetik Rezonans Görüntüleme) sonuçlarında; 2 olguda sağ MCA (Middle Cerehral Artery), 7 olguda sol MCA-2 olguda sağ PCA (Posterior Cerebral Artery), olguda sol ACA (Anterior Cerebral Artery), 9 olguda laküner, olguda sol talamik, 2 olguda sol serebellar, 2 olguda beyin sapı, 3 olguda bazal ganglionlar seviyesinde iskemik enfarktlar görüldü. Kranial MR anjiografilerde; 6 olguda sol MCA, 3 olguda sol İCA (Internal Carotid Artery), 4 olguda sol PCA, 1 olguda sağ PCA, 5 olguda sol vertebral arter, 5 olguda sağ MCA ve 4 olguda sağ İCA'e ait değişik derecelerde stenoz saptandı. Karotisvertebral arter doppler USG (Ultrasonografi) sonuçlarında ise; 3 olguda % 60-80 sağ İCA stenozu, 3 olguda % 40-50 sağ İCA stenozu, 1 olguda sağ CCA (Cominon Cerebral Artery) da % 50-60 stenoz, 1 olguda sağ ECA (Eksternal Carotid Artery) da % 0-10 stenoz, 2 olguda % 60-80 sol İCA stenozu, 2 olguda % 100'e varan ileri derecede sol İCA stenozu ve 2 olguda % 0-10 sol ICA stenozu saptandı . Sağ vertehral arteri izlenmeyen 1 ve sol yertabral arteri izlenmeyen 3 olgu vardı .

Sonuç: Komiler arter by-pass operasyonu geçirmiş hastaların, kranial MR atıfiografi ve karotis-vertehral arter doppler USG incelemelerinin, postope atif erken dönemde yap ılması görüşündeyiz.