Transcranial Doppler Microembolic Signal Monitoring is Useful in Diagnosis and Treatment of Carotid Artery Dissection: Two Case Reports
Why this work is in the frame
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Bibliographic record
Abstract
Arterial dissection is the underlying stroke mechanism in approximately 2.5% of all strokes and the second leading cause of stroke in patients younger than 45 years of age. Controversy exists regarding the medical management of carotid dissection. Both anticoagulants and antiplatelet agents have been used with no compelling data supporting one therapy over the other. Transcranial Doppler (TCD) emboli monitoring may help in establishing the diagnosis and guide the treatment by measuring the frequency of microembolic signals (MES). We present two cases of carotid dissection where TCD monitoring for MES helped in establishing the diagnosis and proved useful in identifying that standard anticoagulation treatment was not preventing emboli. Both cases were also monitored for emboli count reduction with subsequent antiplatelet therapy.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it