Carotid Artery Occlusive Syndrome

Hurwitz, L. J.; Groch, Sigmund N.; Wright, Irving S.; McDowell, Fletcher

doi:10.1001/archneur.1959.03840050025004

Cited by 27 publications

(7 citation statements)

References 14 publications

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“…The authors report that 13 of the patients were initially comatose; six of these died during the first few days of their hospitalization while the remaining seven patients were comatose for one hour or less. The theme of this paper 19 concerns the clinical findings in patients having an occluded carotid artery, which is quite different from a description of the clinical course of acute cerebral infarction in the carotid system.…”

Section: Literaturementioning

confidence: 95%

“…Hurwitz et al 19 described the clinical picture in 57 patients with occlusion of a carotid artery in the neck. The cases were selected because arteriography showed the carotid artery occlusion.…”

Section: Literaturementioning

confidence: 99%

“…with normal consciousness only one died, a mortality of less than 2%. Hurwitz et al 19 noted a mortality of 46% among patients already comatose when admitted; the duration of coma was not mentioned. Cooper et al" reported a 92% mortality among patients admitted in coma from cerebral infarction.…”

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confidence: 99%

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Temporal profile (clinical course) of acute carotid system cerebral infarction.

Jones¹,

Millikan²

1976

Stroke

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The records of 179 consecutive patients with acute carotid system cerebral infarction were studied to describe the temporal profile of the clinical events during the first week of the illness. Only those patients admitted to the cerebrovascular hospital service within 36 hours of the onset of the first symptom were included. The neurological status of 39% was stable (unchanged) at the end of seven days; 35% of the patients gradually improved. Nineteen percent had a progressing neurological deficit from the onset which stabilized within 48 hours of onset. Six patients (3%) had a remitting-relapsing course during the first 36 hours. Eight patients (4%) had a significant late worsening, after 48 hours of stable or improving course. Mortality was 11% for the entire group. However, a high risk of death group was identified - the mortality was 41% for those patients who had any degree of decreased level of consciousness and hemiplegia at the time of admission.

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Section: Literaturementioning

confidence: 95%

Section: Literaturementioning

confidence: 99%

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Temporal profile (clinical course) of acute carotid system cerebral infarction.

Jones¹,

Millikan²

1976

Stroke

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“…26 Seizures in obstructions of the middle cerebral artery (MCA) have not been regarded as an outstanding feature of the clinical picture, being included among second-order symptoms. 6, '• 10,12,26,27 The obvious inference is that epileptic attacks are more frequent in carotid than in MCA occlusive disease. Indeed, their actual incidence is difficult to assess on the basis of data so far available.…”

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confidence: 99%

Epileptic seizures in cerebral arterial occlusive disease.

Cocito¹,

Favale²,

Reni³

1982

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131

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CSF SEROTONIN IN RUPTURED ANEURYSM/ Voldby et al. 189ruptured cerebral aneurysm. J Neurol Neurosurg Psychiat 27: 198-199, 1964 2124The growing attention focused on transient ischemic attacks (TIAs) seems to have fostered an increasing disregard of the relationship between epilepsy and cerebral ischemia, and the two diagnoses have even been considered as mutually exclusive. 26Seizures in obstructions of the middle cerebral artery (MCA) have not been regarded as an outstanding feature of the clinical picture, being included among second-order symptoms.6, '• 10,12,26,27 The obvious inference is that epileptic attacks are more frequent in carotid than in MCA occlusive disease. Indeed, their actual incidence is difficult to assess on the basis of data so far available. In the carotid group, epilepsy was the presenting symptom in 6.7% of patients, whereas no MCA patient had seizures prior to the appearance of a neurological deficit. Since epileptic seizures may complicate an otherwise asymptomatic carotid obstruction, angiography should be performed whenever the other standard investigations, including CT-scan, fail to reveal the cause of a late-onset epilepsy.

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“…Further, Marshall has pointed out that disablement is unrelated to the number of TIAs and, in 60% of those disabled, the cerebrovascular catastrophe ensues within two months of the onset. However, others, including Hurwitz, Groch, Wright, and McDowell (1959) and Friedman, Wilson, Mosier, Colandrea, and Nichaman (1969) have reported a more benign prognosis. The disagreement might be explained if there were a difference in prognosis between those with and those without occlusive disease of the appropriate internal carotid artery.…”

mentioning

confidence: 98%