Abstract
Fifty-one patients with amaurosis fugax were followed for a mean of 4.9 years from their first attack. Females predominated under the age of 50 years in contrast to men who presented in the older age group. Minor permanent visual sequelae occurred in only three patients, but cerebral vascular symptoms were present at some time in just under half the group. A range of abnormalities was identified on cerebral angiography and some of these correlated with certain clinical findings. Twenty patients were treated by surgery and permanent relief of significant improvement in symptoms occurred in 14. A group of patients who were at greater risk of cerebral vascular complications following angiography and surgery was identified. It is concluded that careful patient selection is necessary before surgery is recommended but that in a significant number of cases with relatively focal atheroma confined to one proximal internal carotid artery an excellent long term result following surgery may be expected.
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- Barnett H. J., Peerless S. J., Kaufmann J. C. "Stump" on internal carotid artery--a source for further cerebral embolic ischemia. Stroke. 1978 Sep-Oct;9(5):448–456. doi: 10.1161/01.str.9.5.448. [DOI] [PubMed] [Google Scholar]
- Burnbaum M. D., Selhorst J. B., Harbison J. W., Brush J. J. Amaurosis fugax from disease of the external carotid artery. Arch Neurol. 1977 Sep;34(9):532–535. doi: 10.1001/archneur.1977.00500210034004. [DOI] [PubMed] [Google Scholar]
- Countee R. W., Vijayanathan T. Intracranial embolization via external carotid artery: report of a case with angiographic documentation. Stroke. 1980 Sep-Oct;11(5):465–468. doi: 10.1161/01.str.11.5.465. [DOI] [PubMed] [Google Scholar]
- Ehrenfeld W. K., Hoyt W. F., Wylie E. J. Embolization and transient blindness from carotid atheroma. Surgical considerations. Arch Surg. 1966 Nov;93(5):787–794. doi: 10.1001/archsurg.1966.01330050091013. [DOI] [PubMed] [Google Scholar]
- Eisenberg R. L., Mani R. L. Clinical and arteriographic comparison of amaurosis fugax with hemispheric transient ischemic attacks. Stroke. 1978 May-Jun;9(3):254–255. doi: 10.1161/01.str.9.3.254. [DOI] [PubMed] [Google Scholar]
- FISHER M. Transient monocular blindness associated with hemiplegia. AMA Arch Ophthalmol. 1952 Feb;47(2):167–203. doi: 10.1001/archopht.1952.01700030174005. [DOI] [PubMed] [Google Scholar]
- GUNNING A. J., PICKERING G. W., ROBB-SMITH A. H., RUSSELL R. R. MURAL THROMBOSIS OF THE INTERNAL CAROTID ARTERY AND SUBSEQUENT EMBOLISM. Q J Med. 1964 Jan;33:155–195. [PubMed] [Google Scholar]
- Harrison M. J., Marshall J. Indications for angiography and surgery in carotid artery disease. Br Med J. 1975 Mar 15;1(5958):616–618. doi: 10.1136/bmj.1.5958.616. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marshall J., Meadows S. The natural history of amaurosis fugax. Brain. 1968 Sep;91(3):419–434. doi: 10.1093/brain/91.3.419. [DOI] [PubMed] [Google Scholar]
- Mungas J. E., Baker W. H. Amaurosis fugax. Stroke. 1977 Mar-Apr;8(2):232–235. doi: 10.1161/01.str.8.2.232. [DOI] [PubMed] [Google Scholar]
- Weinberger J., Bender A. N., Yang W. C. Amaurosis fugax associated with ophthalmic artery stenosis: clinical simulation of carotid artery disease. Stroke. 1980 May-Jun;11(3):290–293. doi: 10.1161/01.str.11.3.290. [DOI] [PubMed] [Google Scholar]
- Wilson L. A., Russell R. W. Amaurosis fugax and carotid artery disease: indications for angiography. Br Med J. 1977 Aug 13;2(6084):435–437. doi: 10.1136/bmj.2.6084.435. [DOI] [PMC free article] [PubMed] [Google Scholar]