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Response of Eye and Brain to Micro-emboli

Ann Intern Med. 1962;57(6):1013-1017. doi:10.7326/0003-4819-57-6-1013
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This excerpt has been provided in the absence of an abstract.

Visual loss occurring with the neurologic manifestations of carotid atherosclerosis is receiving increasing attention by internists, neurologists, and ophthalmologists. These associated events are classified in order to emphasize an unusual case, and an hypothesis is presented to explain them.

Carotid atherosclerosis can produce hemiparesis, hemiplegia, aphasia, psychic disturbances, ipsilateral headache, convulsions, and variable visual loss. Any combination of these features may appear abruptly, simulating stroke, recur transiently with complete clearing, or progress relentlessly, mimicking a brain tumor.

The clinical events correlate poorly with the structural changes observed in the artery by arteriography or autopsy examination. Eighty per cent of carotid


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