Roberton Andrew, Shinton Roger, Clow Laura, Tudway David
Guy's & St Thomas' NHS Foundation Trust, London, UK.
BMJ Case Rep. 2012 Aug 14;2012:bcr0920114749. doi: 10.1136/bcr.09.2011.4749.
The authors present a case report of a 64-year-old lady with multiple risk factors for atherosclerosis, who suffered an ischaemic stroke immediately following carotid Doppler ultrasound despite therapeutic warfarin and antiplatelet therapy. This event was only 16 days after the patient suffered a first ischaemic stroke during diagnostic coronary angiography following a syncopal episode accompanied with a raised troponin-T. The temporal relationship between the carotid Doppler ultrasound and second ischaemic stroke raised the question whether it was possible that the investigation had caused the stroke, a complication not previously recognised.
作者报告了一例64岁女性病例，该患者具有动脉粥样硬化的多种危险因素，尽管接受了华法林治疗和抗血小板治疗，但在颈动脉多普勒超声检查后立即发生了缺血性中风。该事件发生在患者因晕厥发作伴肌钙蛋白T升高，在诊断性冠状动脉造影期间首次发生缺血性中风仅16天后。颈动脉多普勒超声检查与第二次缺血性中风之间的时间关系引发了一个问题，即该检查是否有可能导致了中风，这是一种以前未被认识到的并发症。
