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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

    An exam may show:

    • Blood clots in the retina  
    • Reflex problems
    • Muscle weakness
    • Decreased sensation
    • A bruit (an abnormal sound heard with the stethoscope) over the carotid arteries of the neck

    The following tests may be done:

    • Serum lipids blood test (may show high levels of  triglycerides and cholesterol)
    • Carotid or cerebral angiography
    • Carotid duplex or Doppler ultrasound
    • MRI of the head
    • MRA (magnetic resonance angiography) of the brain vessels and neck vessels