Stroke, Vol 15, 903-904, Copyright © 1984 by American Heart Association
Elimination of subjective bruit with compression of temporal artery: new physical sign indicative of internal carotid artery occlusion
GY Chang
A patient is presented with a right central retinal artery occlusion and
subjective bruit over right ear. Digital compression of the right temporal
artery eliminated the bruit and release reproduced the bruit. Carotid
arteriogram showed bilateral internal carotid occlusion with a prominent
right temporal artery. This sign reflects compensatory hyper- perfusion of
the external carotid artery due to occlusion of ipsilateral internal
carotid artery.