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Symptoms and Signs of Carotid Territory Transient Cerebral Ischaemia

Department of Vascular Surgery, Western Infirmary and Gartnavel General Hospital, Glasgow, Scotland

Christopher D. Sheldon

Department of Vascular Surgery, Western Infirmary and Gartnavel General Hospital, Glasgow, Scotland

Roger O. Quin

Department of Vascular Surgery, Western Infirmary and Gartnavel General Hospital, Glasgow, Scotland

In 400 patients referred for non-invasive vascular assessment by ultrasono graphy, 29% of 214 with transient ischaemic attacks, 25% of 44 with reversible ischaemic neurological deficits and 28% of 46 with recovered stroke had signifi cant extracranial internal carotid artery disease. For amaurosis fugax, 65% of 74 patients had significant disease. Both cerebral and ocular symptoms of simi lar laterality with respect to one carotid occurred together in 22 patients, of whom 86% had significant internal carotid disease.

Bruit was heard in 29% of carotids in 200 symptomatic patients. Only 45% of bruits were associated with significant internal carotid disease. The external carotid alone was shown to be the source of cervical murmur in a significant number of patients.

Vascular and Endovascular Surgery, Vol. 20, No. 1, 20-26 (1986)
DOI: 10.1177/153857448602000104


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