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The Role of Carotid Doppler Ultrasound in Dementia Diagnosis and Management

Author

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  • Salihović Hajdarević D
  • Smajlović Dž

    (Department of Neurology, University Clinical Centre Tuzla, Bosnia and Herzegovina)

  • Pavlović A
  • Jovanović Z
  • Å ternić N

    (Department of Neurology, Clinical Centre of Serbia, Republic of Serbia)

Abstract

Carotid atherosclerosis is a major risk factor for stroke, as a result of severe stenosis or distal embolization due to an unstable plaque. Ultrasound (US) evaluation of the carotid arteries is the imaging modality of choice for the screening, diagnosis, and monitoring of atherosclerotic disease of these vessels and it is very important for patients’ management. Aging and increasing life expectancy of the population led to a higher incidence of dementia and cognitive impairment. Severe carotid stenosis and increased intima media thickness are both associated with cognitive decline. Also, severe internal carotid artery stenosis is a risk factor for faster progression of Alzheimer’s dementia (AD). US examination may be helpful in detecting changes in global cerebral hemodynamics in patients with dementia but cannot differentiate between vascular dementia and AD. The potential effect of carotid revascularisation in highly selected cases on the course of certain types of dementia needs to be investigated in future research.

Suggested Citation

  • Salihović Hajdarević D & Smajlović Dž & Pavlović A & Jovanović Z & Å ternić N, 2016. "The Role of Carotid Doppler Ultrasound in Dementia Diagnosis and Management," Open Access Journal of Neurology & Neurosurgery, Juniper Publishers Inc., vol. 1(2), pages 25-29, January.
    • Handle: RePEc:adp:joajnn:v:1:y:2016:i:2:p:25-29
    DOI: 10.19080/OAJNN.2016.01.555556
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