Type:
Educational Exhibit
Keywords:
Inflammation, Education and training, Arteriosclerosis, Diagnostic procedure, Ultrasound-Colour Doppler, Ultrasound, Vascular, Head and neck, CNS
Authors:
C. Pinheiro1, T. V. P. Morais2, C. T. F. Perry da Câmara2, C. Rios2, M. C. Diogo2, M. Ferreira1; 1Lisbon/PT, 2Lisboa/PT
DOI:
10.1594/ecr2018/C-2014
Background
The non atherosclerotic vasculopathies are an uncommon group of disorders,
with diverse etiopathogenies,
involving younger patients when compared with atherosclerotic disease.
Clinical presentation varies from acute vascular events - ischemic or hemorrhagic- to uncharacteristic neurologic syndromes.
Although the cerebral angiography is the gold standard diagnostic method due to its high sensibility,
its specificity is low mainly when compared to imaging evaluation of the arterial wall with carotid and vertebral ultrasound-doppler.
As a non-invasive exam,
it is extremely useful,
not only in the diagnosis,
but also in the monitoring of these patients - young patients who need a regular and extended evaluation.
We present six different examples of non-atherosclerotic vasculopathies namely,
Moya-moya disease,
vertebral artery dissection in a patient with fibromuscular dysplasia,
Takayasu arteritis,
giant cells arteritis,
sickle cell disease and radiation-induced vasculopathy.