High degrees of stenosis of the carotid plaque play an important role in the pathogenesis of acute stroke, but the degree of stenosis alone is not a sufficiently sensitive and specific marker of stroke risk.
A large proportion of the patients on medical treatment, in fact, remains free of symptoms despite the presence of highly stenotic plaques and, in some rare cases, patients with moderate degrees of stenosis may experience stroke. The aim of identifying, with echocolor Doppler, the “high-risk” plaque in asymptomatic patients in clinical practice is still unresolved.
In this lesson, the case of a patient with a heterogeneous, not hemodynamic carotid plaque, who experienced a stroke, is reported.
Franco Accorsi, MD
Member of the Order of Physician of Bologna n° 6728
I am a specialist in Medical Angiology and I am based in Bologna, Italy. Until 2008 (voluntary resignation) I worked at Maggiore Hospital in Bologna as "Dirigente Medico" in the Department of Internal Medicine and as Angiologist in the Angiology Unit with a position of "Alta Professionalità" in "Vascular Ecography and Angiology".
I am currently working in Bologna as an independent professional in the areas of angiology and vascular diagnostics.
I have been a speaker at national and international courses/congress and I have taught duplex ultrasound method in GIUV and SIUMB courses at the Maggiore Hospital, Bologna and courses of echocolor Doppler of extracranial and intracranial arteries at the Stroke Unit of S. Maria Nuova Hospital, Reggio Emilia.