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Panoramic Radiography and Cone Beam Computed Tomography in the Early Diagnosis of Atheroma in the Extracranial and Intracranial Internal Carotid Artery: A Case Report / Radiografía Panorámica y Tomografía Computarizada de Haz Cónico en el Diagnóstico Precoz de Ateroma en la Arteria Carótida Interna, Extracraneal e Intracraneal: Reporte de Caso
Villoria, Eduardo Murad; Souki, Bernardo Quiroga; Antunes, Flávio Lucena; Castro, Isis Kanitar; Spyrides, Kyria Spyro; Soares, Rodrigo Villamarim.
  • Villoria, Eduardo Murad; Pontificial Catholic University of Minas Gerais. School of Dentistry. Belo Horizonte. BR
  • Souki, Bernardo Quiroga; Pontificial Catholic University of Minas Gerais. School of Dentistry. Belo Horizonte. BR
  • Antunes, Flávio Lucena; Pontificial Catholic University of Minas Gerais. School of Dentistry. Belo Horizonte. BR
  • Castro, Isis Kanitar; Unigranrio University. School of Dentistry. Rio de Janeiro. BR
  • Spyrides, Kyria Spyro; s.af
  • Soares, Rodrigo Villamarim; Pontificial Catholic University of Minas Gerais. School of Dentistry. Belo Horizonte. BR
Int. j. odontostomatol. (Print) ; 13(1): 75-81, mar. 2019. graf
Article in English | LILACS | ID: biblio-990068
ABSTRACT
ABSTRACT Carotid stenosis usually results from the accumulation of atherosclerotic plaque in the carotid artery wall and is an important risk factor for ischemic cerebral vascular accident (CVA). This study describes the importance of diagnostic imaging exams used in dentistry for the early identification of atheroma plaques in the extracranial and intracranial internal carotid artery. A male patient was referred to a radiology clinic to perform panoramic radiography (PR) and a cone beam computed tomography (CBCT) to develop treatment plan options. In the PR and CBCT a radiopaque image, suggestive of atheroma in the extracranial internal carotid artery, was observed on the right side. The diagnosis was confirmed by color DOPPLER ultrasonography. In the CBCT, the presence of calcifications in the intracranial internal carotid artery was also observed. Diagnostic imaging exams used in dentistry allow the identification of asymptomatic individuals, facilitating early intervention and consequent reduction in the risk of ischemic CVA.
RESUMEN
RESUMEN La estenosis carotídea generalmente es consecuencia de la acumulación de placa aterosclerótica en la pared de la arteria carótida y es un factor de riesgo importante para el accidente cerebral vascular (ACV) isquémico. Este estudio describe la importancia de los exámenes de diagnóstico por imágenes utilizados en odontología para la identificación precoz de placas de ateroma en la arteria carótida interna, a nivel extracraneal e intracraneal. Un paciente masculino fue remitido a una clínica de radiología para realizar una radiografía panorámica (RP) y tomografía computarizada de haz cónico (TCHC) para analizar opciones de tratamiento. En el RP y TCHC se observó una imagen radiopaca, sugestiva de ateroma en la arteria carótida, extracraneal, en el lado derecho. El diagnóstico fue confirmado por ultrasonido DOPPLER color carotídeo. En el TCHC, también se observó la presencia de calcificaciones en la arteria carótida interna, intracraneal. Los exámenes de imagenología diagnóstica utilizados en odontología permiten la identificación de individuos asintomáticos, lo que facilita la intervención temprana y la consiguiente reducción en el riesgo de ACV isquémico.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Radiography, Panoramic / Carotid Arteries / Cone-Beam Computed Tomography / Plaque, Atherosclerotic Type of study: Diagnostic study / Prognostic study / Risk factors / Screening study Limits: Aged / Humans / Male Language: English Journal: Int. j. odontostomatol. (Print) Journal subject: Dentistry Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Pontificial Catholic University of Minas Gerais/BR / Unigranrio University/BR

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Full text: Available Index: LILACS (Americas) Main subject: Radiography, Panoramic / Carotid Arteries / Cone-Beam Computed Tomography / Plaque, Atherosclerotic Type of study: Diagnostic study / Prognostic study / Risk factors / Screening study Limits: Aged / Humans / Male Language: English Journal: Int. j. odontostomatol. (Print) Journal subject: Dentistry Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Pontificial Catholic University of Minas Gerais/BR / Unigranrio University/BR