Very little preparation is needed. Wear a top with an open neckline, leave necklaces at home, and eat and take medications as normal. There is no fasting requirement, no sedation and nothing to arrange afterwards. The study is performed at an imaging centre rather than at the CNS offices, which have no imaging suite, so their check-in requirements apply.
Very little preparation is needed. Wear a top with an open neckline, leave necklaces at home, and eat and take medications as normal. There is no fasting requirement, no sedation and nothing to arrange afterwards. The study is performed at an imaging centre rather than at the CNS offices, which have no imaging suite, so their check-in requirements apply.
The probe needs direct contact with the skin along both sides of your neck, so a high collar, polo neck or scarf will need to come off. A top with an open neckline makes the whole thing easier. Leave necklaces at home or be ready to remove them. Gel is applied to the skin and wipes off afterwards, though it is worth not wearing something you would mind a mark on.
There is no fasting requirement for a standard carotid ultrasound, so eat normally. Take your usual medications, including blood pressure medication, unless you have been specifically told otherwise. It is worth mentioning blood pressure medication when you book, since it can influence measurements, but it is not usually a reason to withhold a dose.
Bring the request from your neurologist, your insurance details and photo identification. The study is performed at an imaging centre or hospital vascular laboratory rather than at the CNS offices, which have no imaging suite. The report goes back to the neurologist who ordered it, and you discuss what it means at a follow-up rather than being handed a percentage without context.
Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.
Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.
MRI, CT, carotid ultrasound and lumbar puncture are not performed at these offices. They are arranged at an imaging centre or hospital, and the report is reviewed with you by the neurologist who ordered it.
Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.
Sources and further reading: MedlinePlus: carotid artery disease; MedlinePlus, National Library of Medicine; National Institute of Neurological Disorders and Stroke.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.