Amaurosis fugax: the results of arteriography in 59 patients.

Adams, Hadie; Putman, S F; Corbett, James J.; Sires, B P; Thompson, H. Stanley

doi:10.1161/01.str.14.5.742

Cited by 57 publications

(17 citation statements)

References 17 publications

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“…The prevalence of ECS in our study (17.1%) was lower than that in white populations. 2,3,5 In contrast to previous study, 3,4 altitudinal/lateralized visual loss and an onset speed of seconds did not occur more frequently in our ICA-stenosis group. Positive visual phenomena, which were considered as benign, were not rare in our ICA-stenosis group.…”

Section: Discussioncontrasting

confidence: 99%

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Distribution of Carotid Arterial Lesions in Chinese Patients With Transient Monocular Blindness

Hsu

Yang

Chao

et al. 2006

Stroke

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Background and Purpose-Asian patients with cerebrovascular diseases have more intracranial atherosclerosis and less extracranial carotid artery stenosis compared with white patients. We systemically evaluated the distribution of carotid arterial lesions in Chinese patients with transient monocular blindness (TMB), which was rarely reported. Methods-We prospectively evaluated 105 consecutive patients with TMB. All of the patients received ocular and physical examinations, blood tests for coagulation function and autoimmune diseases, and ultrasonography of cervical and intracranial arteries. All of the carotid lesions were confirmed by magnetic resonance angiography or cerebral angiography. Results-Of the 36 (34.3%) patients with significant carotid stenosis (Ն50%), 16 (15.2%) had extracranial carotid stenosis; 17 (16.2%) had carotid siphon stenosis; and 3 (2.9%) had both. The duration, onset, and patterns of visual loss were not different between patients with and without carotid arterial lesion. Conclusions-This

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Section: Discussioncontrasting

confidence: 99%

“…The reported percentage of TMB patients without underlying problems were quite variable, ranging from 18% to 81%, depending on the criteria of patient recruitment and the extent of investigations. [1][2][3][4][5] …”

Section: Discussionmentioning

confidence: 99%

Distribution of Carotid Arterial Lesions in Chinese Patients With Transient Monocular Blindness

Hsu

Yang

Chao

et al. 2006

Stroke

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“…According to a previous study, the prevalence of ophthalmic artery stenosis is approximately 2% of patients suffering from TMB [7] . There are two prevailing theories about TMB and ophthalmic artery stenosis.…”

Section: Discussionmentioning

confidence: 98%

Recurrent Transient Monocular Blindness with Ophthalmic Artery Stenosis

Park¹,

Kim²,

Lee³

et al. 2008

Eur Neurol

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“…Patients with amaurosis fugax investigated by angiography were recently reviewed by Adams et al, 4 who did not find any example of AVM among 59 patients from a personal series and a total of 751 from the literature, suggesting that TMB is very rarely associated with AVM's. Although Walsh and Hoyt 3 mention this association, we were able to find only one documented case of TMB in the literature, 2 related to an intracerebral AVM.…”

Section: Discussionmentioning

confidence: 99%

Amaurosis fugax as the presenting manifestation of dural arteriovenous malformation.

Bogousslavsky¹,

Viñuela²,

Barnett³

et al. 1985

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SUMMARY A 46-year-old woman under investigation for three episodes of amaurosis fugax in the left eye proved to have a left anterior-middle fossa dural arteriovenous malformation with pial venous drainage. The malformation received its main supply from the left middle meningeal artery, but its anterior part was fed by the recurrent meningeal branch of the left ophthalmic artery. Transient episodic lowering of retinal arterial pressure due to shunting of blood from the ophthalmic artery to the malformation is the most likely explanation for the occurrence of amaurosis fugax, indicating that this symptom occurs in some patients on a hemodynamic basis. Stroke Vol 16, No 5, 1985TRANSIENT ISCHEMIC ATTACKS rarely occur in relation to intracranial arteriovenous malformations (AVM's),' and among them transient monocular blindness (TMB) seems to be exceptional. 2 -3 We report a patient with recurrent episodes of isolated TMB as the presenting manifestation of a dural AVM. Patient ReportThe patient, a 46-year-old white housewife, was admitted to University Hospital on July 17, 1984.In 1979, she noted a continuous left frontal noise, without headache, which spontaneously resolved in a few minutes. One year before admission, she experienced transient monocular blindness in the left eye just after standing up from a chair, with no other associated symptoms. This loss of vision was characterized by a quick (2 seconds) centripetal darkening of vision to complete blindness; the eye maintained completely blind for 1 minute, followed by a progressive reappearance of the vision in the entire visual field within 30 seconds. Eight months later, while bending forward, the patient suffered a similar episode of transient monocular blindness in the left eye of slightly longer duration (5 minutes). Two months later, a similar event recurred while she was sitting in a boat, and lasted at least 15 minutes, but the patient experienced the loss of vision only in the lower half-field of the left eye, in an ascending curtain-like fashion. A few weeks later, she became aware of transient recurrence of the noise in the left forehead. A CT scan and a carotid angiogram were performed revealing two dural AVM's of the From the Department of Clinical Neurological Sciences, University of Western Ontario, London, Ontario, Canada.•Supported by grants from the Swiss Academy of Medical Sciences and the S1CPA Foundation.Address correspondence to: Dr. F. Vinuela, Department of Diagnostic Radiology, University Hospital, P.O. Box 5339, London, Ontario, Canada N6A-5A5.Received November 19, 1984; revision #1 accepted January 24, 1985. anterior-middle fossa: a larger one in the region of the pterion on the left and a smaller one in the area of the insertion of the falx anteriorly. She was referred to this institution for treatment.On physical examination, the patient was alert and cooperative. Blood pressure ws 120/70 mm.Hg. and cardiac auscultation was normal. No bruits were heard on the supraclavicular fossa, neck, eyes or head. Optic fundi were normal, wi...

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Amaurosis fugax: the results of arteriography in 59 patients.

Cited by 57 publications

References 17 publications

Distribution of Carotid Arterial Lesions in Chinese Patients With Transient Monocular Blindness

Distribution of Carotid Arterial Lesions in Chinese Patients With Transient Monocular Blindness

Recurrent Transient Monocular Blindness with Ophthalmic Artery Stenosis

Amaurosis fugax as the presenting manifestation of dural arteriovenous malformation.

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