Abstract
Appropriate percutaneous carotid arteriography was carried out in 69 patients who presented with transient ischaemic attacks (TIAs) in the carotid territory. Major abnormalities were detected in 19 which included internal carotid stenosis (nine), internal carotid occlusion (seven), intracranial aneurysm (two), and cerebral angioma (one). Forty-five patients had normal angiograms and five slight irregularity of the internal carotid artery without stenosis. The symptoms and signs pertaining to the normotensive and hypertensive groups are presented. The outcome of stroke in 35 normotensives was as follows: three died of related disease, three are severely disabled, two have slight disability, eight have minor neurological residua, and 19 are normal. Fifteen patients had a diastolic blood pressure of above 105 mm Hg and the outcome of stroke in these patients treated with hypotensive agents was as follows: two died of related disease, two have severe and two moderate disablement, four have slight disability, one has minor residua, and four are normal. The pathogenesis of TIAs in relation to the two groups and the use of anticoagulant drugs and hypotensive agents are discussed.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ACHESON J., HUTCHINSON E. C. OBSERVATIONS ON THE NATURAL HISTORY OF TRANSIENT CEREBRAL ISCHAEMIA. Lancet. 1964 Oct 24;2(7365):871–874. doi: 10.1016/s0140-6736(64)90734-2. [DOI] [PubMed] [Google Scholar]
- Acheson J., Hutchinson E. C. The natural history of "focal cerebral vascular disease". Q J Med. 1971 Jan;40(157):15–23. [PubMed] [Google Scholar]
- BRADSHAW P., PARSONS M. HEMIPLEGIC MIGRAINE, A CLINICAL STUDY. Q J Med. 1965 Jan;34:65–85. [PubMed] [Google Scholar]
- BULL J. W., MARSHALL J., SHAW D. A. Cerebral angiography in the diagnosis of the acute stroke. Lancet. 1960 Mar 12;1(7124):562–565. doi: 10.1016/s0140-6736(60)92774-4. [DOI] [PubMed] [Google Scholar]
- Bradshaw P., Casey E. Outcome of medically treated stroke associated with stenosis or occlusion of the internal carotid artery. Br Med J. 1967 Jan 28;1(5534):201–205. doi: 10.1136/bmj.1.5534.201. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Burrows E. H., Marshall J. Angiographic investigation of patients with transient ischaemic attacks. J Neurol Neurosurg Psychiatry. 1965 Dec;28(6):533–539. doi: 10.1136/jnnp.28.6.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
- FISHER M. Occlusion of the internal carotid artery. AMA Arch Neurol Psychiatry. 1951 Mar;65(3):346–377. doi: 10.1001/archneurpsyc.1951.02320030083009. [DOI] [PubMed] [Google Scholar]
- Friedman G. D., Wilson W. S., Mosier J. M., Colandrea M. A., Nichaman M. Z. Transient ischemic attacks in a community. JAMA. 1969 Nov 24;210(8):1428–1434. [PubMed] [Google Scholar]
- HURWITZ L. J., GROCH S. N., WRIGHT I. S., McDOWELL F. H. Carotid artery occlusive syndrome. Arch Neurol. 1959 Nov;1:491–501. doi: 10.1001/archneur.1959.03840050025004. [DOI] [PubMed] [Google Scholar]
- JOHNSON H. C., WALKER A. E. The angiographic diagnosis of spontaneous thrombosis of the internal and common carotid arteries. J Neurosurg. 1951 Nov;8(6):631–659. doi: 10.3171/jns.1951.8.6.0631. [DOI] [PubMed] [Google Scholar]
- MARSHALL J. THE NATURAL HISTORY OF TRANSIENT ISCHAEMIC CEREBRO-VASCULAR ATTACKS. Q J Med. 1964 Jul;33:309–324. [PubMed] [Google Scholar]
- Marshall J., Wilkinson I. M. The prognosis of carotid transient ischaemic attacks in patients with normal angiograms. Brain. 1971;94(3):395–402. doi: 10.1093/brain/94.3.395. [DOI] [PubMed] [Google Scholar]
- SMYTH G. E. Clinical aspects of carotid thrombosis. Proc R Soc Med. 1954 Jul;47(7):602–602. doi: 10.1177/003591575404700717. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wolman L., Bradshaw P. Spinal cord embolism. J Neurol Neurosurg Psychiatry. 1967 Oct;30(5):446–454. doi: 10.1136/jnnp.30.5.446. [DOI] [PMC free article] [PubMed] [Google Scholar]