%0 Journal Article
%T Contribution of Doppler Ultrasound of the Supra-Aortic and Transcranial Trunks in the Lesion Diagnosis of Ischemic Stroke at the Dogta-Lafiè Reference Hospital in Lomé (HDL) and the Kara University Hospital
%A Machihude Pio
%A Tchaa Tcherou
%A Abalo Mario Bakai
%A Fresnel Hounkpe
%A Soulemane Pessinaba
%A Yaovi Mignazonzon Afassinou
%A Dieu-Donn&#233
%A Wiyaou Kaziga
%A Lehleng Agba
%A Vignon Codjia
%A Naka Alfa
%A Edem Mossi
%A Nouridine Amadou
%A Eyouvei Akata
%A Vinyo K. Kumako
%J World Journal of Cardiovascular Diseases
%P 730-738
%@ 2164-5337
%D 2024
%I Scientific Research Publishing
%R 10.4236/wjcd.2024.1412065
%X <b>Objective</b><b>: </b>Describe the contribution of Doppler ultrasonography of the cervical and encephalic arteries in the lesion diagnosis of ischemic strokes. <b>Materials and </b><b>Methods</b><b>:</b> This was a prospective descriptive and analytical study carried out from August 2022 to August 2024 (2 years) in the Doppler ultrasound room in the cardiology departments of Dogta-Lafi&#232; Hospital in Lom&#233; and Kara University Hospital. All patients who underwent Doppler ultrasonography of the cervical and encephalic arteries for ischemic stoke during the study period were included. <b>Results:</b> We selected 110 Doppler ultrasound scans for ischemic stroke. The mean age was 62.1 &#177; 12.6 years. The M/F sex ratio was 1.4. Cardiovascular risk factors included hypertension (40%), dyslipidemia (42.8%), diabetes (14.5%) and a history of ischemic stroke (09.1%). Doppler ultrasonography was normal in 22 patients, and significant lesions were present in 88 patients (80%). Significant stenoses were found in 60 patients (55%) and occlusions in 28 (25%). These lesions were intracranial (40.9%), extracranial (59.1%), or mixed (19.3%). Significant stenoses and occlusions involved the carotid system in 78.6% and the vertebrobasilar system in 21.4%. In the cervical region, bulbar carotid and post-bulbar stenoses accounted for 61.5%. In the encephalic region, stenoses of the middle and posterior cerebral arteries accounted for 61.1% and 30.5% of lesions respectively. Transcranial Doppler ultrasound revealed 23.9% (21 patients) of intracranial lesions in patients with normal Doppler at the cervical level. Diabetes increases the likelihood of stenosing lesions, while hypertension favours occlusive lesions. <b>Conclusion:</b> arterial lesions in ischemic stroke are intracranial, and extracranial, hence the need to couple transcranial Doppler with Doppler ultrasound of cervical vessels.
%K Ischemic Stroke
%K Doppler Ultrasound
%K Supraaortic Arteries
%K Transcranial
%K Togo
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=138209