Camilo R. Gomez, MD; Simon Horenstein, MD
To the Editor: In response to Feussner and Matchar's discussion and the related ACP position paper concerning the carotid artery (1, 2), we submit that few physicians untrained in evaluating the nervous system are likely to successfully gather clinical data of quality necessary for diagnostic accuracy and appropriate treatment. Crises of cerebral blood flow are commonly viewed simplistically; seemingly few physicians understand their physiologic bases or the contemporary diagnostic strategies which offer hitherto unavailable information safely and inexpensively.
The assumption that ischemia in the region of the internal carotid artery is caused solely by atherosclerosis of its cervical portion (which
Gomez CR, Horenstein S. Assessment of the Carotid Arteries. Ann Intern Med. ;111:183–184. doi: 10.7326/0003-4819-111-2-183
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Published: Ann Intern Med. 1989;111(2):183-184.
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