NICHOLAS P. CHRISTY, M.D.; LOWELL G. LUBIC, M.D.; MELVIN D. YAHR, M.D.
The clinical syndrome of carotid artery occlusion with resultant cerebral vascular insufficiency is well recognized, having been emphasized as long ago as 1914 by Hunt1 and more recently reviewed by Galdston and his associates.2 There are varied etiologic factors. Carotid arteriosclerosis with superimposed thrombosis is thought to be the commonest offender,2 while trauma,1 "serpentine" aneurysms3 and embolization1, 2, 4 have also been implicated. Signs of optic nerve damage on the side of the thrombosed vessel occurring together with contralateral hemiplegia should arouse suspicion of carotid artery occlusion.5, 6 Carotid angiography may confirm the clinical impression.7
Disease of more proximal vessels,
CHRISTY NP, LUBIC LG, YAHR MD. SPONTANEOUS PARTIAL OCCLUSION OF THE INNOMINATE ARTERY: REPORT OF A CASE WITH ANGIOCARDIOGRAPHIC CONFIRMATION1. Ann Intern Med. ;40:1040–1048. doi: 10.7326/0003-4819-40-5-1040
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Published: Ann Intern Med. 1954;40(5):1040-1048.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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