Differential Carotid Ligation for Supraclinoid Arterial Cerebral Aneurysms

Smith, Frank P.

doi:10.3171/jns.1962.19.9.0787

Cited by 12 publications

(1 citation statement)

References 11 publications

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“…How may the symptom be explained with an occluded or normal internal carotid artery? Ligation of the internal carotid artery does not interfere with vision in the ipsilateral eye (Mount, 1959;Poppen, I960;Smith, 1962). Ligation of the ophthalmic artery does not interfere with vision (Dandy, 1935;Adson, 1942).…”

Section: Platelet Embolimentioning

confidence: 99%

Transient Monocular Blindness

Ross

1977

Can. j. neurol. sci.

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SUMMARY:This paper is a review of the causes of intermittent monocular blindness. The nature of cholesterol and platelet retinal emboli is discussed. Their sources, the frequency with which they may cause transient or fixed blindness and the association between these emboli and pathology of the major cerebral vessels and other organs is discussed.Consideration is given to the equally important abnormalities of platelet behavior and to some of the physiology of retinal blood flow and non-embolic blindness.The current treatment of this symptom may be anticoagulation, surgical correction of a stenotic artery or both. The effect of treatment is unpredictable and in some situations the rationale is suspect.This review may provide a summary on which to base future studies of the effectiveness of various therapeutic agents.

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Section: Platelet Embolimentioning

confidence: 99%

Transient Monocular Blindness

Ross

1977

Can. j. neurol. sci.

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Carotid Artery Ligation in the Neck

Fox¹

1983

Intracranial Aneurysms

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Aneurysms of the bifurcation of the internal carotid artery

Perria

Rivano

et al. 1968

Acta neurochir

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With 12 FiguresAlthough aneurysms of the bifurcation of the internal carotid artery have been mentioned in passing in numerous papers describing personM experiences with intracranial aneurysms, reports devoted specifically to the problems created by such aneurysms are rare. Because we know of only two publications giving detailed descriptions of the carotid bifurcation aneurysms (TSnnis and Walter, 1966;David and Sachs, 1967) we thought it useful to describe our own experience with this aneurysmal pathology.Our series comprises thirteen patients. The essential clinical data of these cases are summarized in Table 1.These 13 patients (8 men and 5 women) represent 9.1% of all the intracranial aneurysms of our series. This percentage is higher than that of most other authors (4.4% Lol~sley, 1966; 6~o Crompton, 1962; 5% David and Sachs, 1967; 8% Frugoni and Ruberti, 1957; 9% Maspes and Marini, 1965). ~n 8 patients the aneurysm was on the right carotid bifurcation, in 5 on the left one. In two instances the internal carotid bifurcation aneurysm was associated ~dth a second intracranial aneurysm (anterior communicating artery: case XI; contralatera] internal carotid artery: case XII).The age of the patients ranged from 24 to 65 years; the average age was about 44 years and the highest incidence was between 40 and 50 years.A similar age distribution is found in the cases of David and Sachs (1967), whilst in the cases reported by Lo]csley (1966) the highest incidence occurred between 60 and 70 years.Six of our 13 patients had repeated bleeding (eases II, V, VI, X, XI and XII); however, on account of the presence of a second aneurysm, the origin of the bleeding in the cases XI and XII is open to doubt. Recurrent bleeding, so frequently observed in our cases, was also reported by Wright and Sweet (1963), although it does not appear to have occurred in David and Sachs 's experience (1967).In all patients--except case II[ in whom the clinical picture was independent of the carotid bifurcation aneurysm--the clinical picture 4*

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Differential Carotid Ligation for Supraclinoid Arterial Cerebral Aneurysms

Cited by 12 publications

References 11 publications

Transient Monocular Blindness

Transient Monocular Blindness

Carotid Artery Ligation in the Neck

Aneurysms of the bifurcation of the internal carotid artery

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