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Brain CT / hemolytic anemia

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  • 1. L E A R N I N G P O I N T S MORNING REPORT 06/09

2. WHAT IS THE DIAGNOSIS? 3. CAROTID ARTERY STENOSIS Causes approximately 10 to 20% of strokes. Occurs most frequently at its bifurcation. Atherosclerotic plaques cause symptoms most often through distal embolism to branches of the retinal or cerebral arteries (MCA). 50% patients with symptomatic carotid disease report TIA symptoms preceding the stroke. Grotta JC. Carotid stenosis. N Engl J Med 2013;369:1143-1150 4. TREATMENT In patients with symptomatic disease, carotid endarterectomy should be considered within 2 weeks if there is stenosis of more than 70% of the diameter of the ipsilateral carotid artery Less benefit in patients with stenosis of 50 to 69% and in asymptomatic patients, and there is no benefit in patients with stenosis of less than 50%. Carotid stenting is an alternative to carotid endarterectomy, particularly in patients at high surgical risk and in younger patients (