Correlation of carotid artery doppler indices with national institute of health sciences stroke scale in post stroke patients

Authors

  • Asma Yazdan University Institute of Radiological Sciences & Medical Imaging Technology, Faculty of Allied Health Sciences, The University of Lahore
  • Iqra Manzoor University Institute of Radiological Sciences & Medical Imaging Technology, Faculty of Allied Health Sciences, The University of Lahore
  • Syed Muhammad Yousaf Farooq Department of Radiography and Imaging Technology, Green International University, Lahore, Pakistan
  • Sajja Ullah Leeds Beckett University, UK
  • Laiba Begum Iqra National University, Pakistan
  • Aruj Latif University Institute of Radiological Sciences & Medical Imaging Technology, Faculty of Allied Health Sciences, The University of Lahore

DOI:

https://doi.org/10.36162/hjr.v10i2.16

Keywords:

Carotid artery stenosis, Stroke, Internal carotid artery, Doppler ultrasound, NIH stroke scale

Abstract

Background: Carotid artery stenosis, also known as carotid artery disease (CAD), is characterized by narrowing of the carotid arteries due to plaque buildup, which increases the risk of stroke.
Objective: To correlate carotid artery Doppler indices with the National Institute of Health Sciences Stroke (NIHSS) scale in post-stroke patients.
Methods: A cross-sectional analytical study was conducted at the Radiology Department of Rehman Medical Institute and Hayatabad Medical Complex, Peshawar, over 9 months. A total of 74 patients (55.4% male, 44.6% female, mean age 64.4 ± 11.0 years) underwent duplex ultrasonography and NIHSS assessment.
Results: There was a strong positive correlation (r=0.793, p<0.001) between NIHSS scores and increased right ICA-EDV; a moderate positive correlation (r=0.439, p<0.001) between NIHSS scores and increased left IMT; and a strong positive correlation (r=0.926, p<0.001) between NIHSS scores and increased right ECA-PSV.
Conclusion: Severe neurological deficits, as measured by NIHSS, align with advanced carotid artery disease and increased Doppler blood flow indices. Carotid artery assessment with Doppler ultrasound can provide valuable information in post-stroke management.

Author Biography

Syed Muhammad Yousaf Farooq, Department of Radiography and Imaging Technology, Green International University, Lahore, Pakistan

Head of department, PhD Diagnostic Ultrasound, MPhil, MSc

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Published

25-06-2025

Issue

Vol. 10 No. 2 (2025)

Section

Original Articles