Contrast-Enhanced Ultrasound Reveals Carotid Plaque Rupture as Stroke Cause: A Case Report

A recent case demonstrates the value of contrast-enhanced ultrasound (CEUS) in identifying the cause of acute stroke. In this case, CEUS provided clear visualization of several key factors: neovascularization within the carotid artery plaque, plaque ulceration, and the presence of a floating thrombus. This detailed imaging enabled physicians to accurately determine that the stroke resulted from the rupture of a vulnerable carotid artery plaque, which subsequently led to the formation of a thrombus.

The timely use of CEUS proved crucial for the patient's positive outcome. The accurate diagnosis allowed for the prompt administration of antiplatelet therapy and the successful placement of a stent. This case underscores the importance of considering vulnerable carotid artery plaque rupture as a potential cause in acute stroke patients.

This case highlights CEUS as a promising diagnostic tool for stroke evaluation. Its ability to provide detailed visualization of the carotid artery plaque and associated abnormalities makes it invaluable for identifying the underlying causes of stroke and guiding treatment decisions.