Carotid endarterectomy benefits and risks of the procedure is required on an individual patient basis. Peri-operative CEA risks for combined 30 day mortality and stroke risk should be < 3% for asymptomatic patients and ≤ 6% for symptomatic patients. Symptomatic patients typically have either transient ischemic attack (TIA) or minor stroke, defined as a focal neurologic defect affecting one side of the body, speech, or vision. Asymptomatic patients have narrowing of their carotid arteries, but have not experienced a TIA or stroke. Carotid stenosis is diagnosed with ultrasound doppler studies of the neck arteries, magnetic resonance angiography (MRA) or computed tomography angiography
Striate arteries ventricular system. Lacunar infarcts may have serious functional consequences if they involve motor or sensory fibers in the internal capsule or may be "silent" if they involve other small regions of white matter or the basal ganglia. Striate arteries Striate arteries or ganglionic arteries arise from the middle cerebral artery and supply deep structures in the cerebrum, including the internal capsule and reticular formation. Strokes in these vessels are common and can cause extensive damage. This is because emboli are carried up the carotid and tend to be swept into the MCA, sometimes called the "artery of stroke", and are