Stroke secondary to carotid stenosis

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Carotid stenosis, X-ray of the left artery

Carotid stenosis, X-ray of the right artery

Arteries of the brain

Stroke secondary to carotid stenosis

Symptoms:

Weakness or total inability to move a body part
Numbness, loss of sensation
Tingling or other abnormal sensations
Decreased or lost vision (may be partial or temporary)
Language difficulties (aphasia)
Inability to recognize or identify sensory stimuli (agnosia)
Loss of memory
Loss of coordination
Swallowing difficulties
Personality changes
Mood and emotion changes
Urinary incontinence (lack of control over bladder)
Lack of control over the bowels
Consciousness changes:
- Sleepiness
- Stupor, lethargy
- Coma, unconsciousness

Signs and tests:

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Neurologic, motor, and sensory examinations may be done to determine specific neurologic deficits, because they often correspond closely to the location of the injury to the brain. The examination may show emboli in the retina, abnormal reflexes or abnormal extent of "normal" reflexes, muscle weakness, decreased sensation, or other changes. A bruit (an abnormal sound heard with the stethoscope) may be heard over the carotid arteries of the neck.

Additional tests include:

High serum lipids, especially triglycerides and cholesterol
Carotid artery stenosis or complete occlusion showing on
- Carotid or cerebral angiography
- Carotid duplex or Doppler ultrasound
- MRI of the head
- MRA (magnetic resonance angiography) of the brain vessels and neck vessels