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Carotid stenosis, X-ray of the left artery Carotid stenosis, X-ray of the right artery Arteries of the brain

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Stroke secondary to carotid stenosis

Symptoms: Weakness or total inability to move a body part Numbness, loss of sensation Tingling or other abnormal sensations Decreased or lost vision (may be partial or temporary) Language difficulties (aphasia) Inability to recognize or identify sensory stimuli (agnosia) Loss of memory Loss of coordination Swallowing difficulties Personality changes Mood and emotion changes Urinary incontinence (lack of control over bladder) Lack of control over the bowels Consciousness changes: Sleepiness Stupor, lethargy Coma, unconsciousness Signs and tests: Neurologic, motor, and sensory examinations may be done to determine specific neurologic deficits, because they often correspond closely to the location of the injury to the brain. The examination may show emboli in the retina, abnormal reflexes or abnormal extent of "normal" reflexes, muscle weakness, decreased sensation, or other changes. A bruit (an abnormal sound heard with the stethoscope) may be heard over the carotid arteries of the neck. Additional tests include: High serum lipids, especially triglycerides and cholesterol Carotid artery stenosis or complete occlusion showing on Carotid or cerebral angiography Carotid duplex or Doppler ultrasound MRI of the head MRA (magnetic resonance angiography) of the brain vessels and neck vessels

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