Stroke, Vol 16, 795-797, Copyright © 1985 by American Heart Association
MJ Harrison and J Marshall
The results of carotid angiography were compared in 53 patients with
amaurosis fugax and 92 with hemispheric transient ischaemic attacks (TIAs).
Evidence of extracranial disease was found in 71% of those with retinal
ischaemia and these patients rarely had evidence of intracranial disease
(11%) or normal angiograms (15%). By contrast patients with hemispheric
symptoms less frequently showed disease of the cervical carotid artery
(36%) and more often had intracranial disease (27%) or normal angiograms
(35%). It is suggested that amaurosis fugax is usually due to emboli
originating in the internal carotid artery but that the pathogenesis of
cerebral TIAs in the carotid territory is more heterogeneous. These
conclusions have implications for the design and interpretation of both
medical and surgical trials.
ARTICLES
Arteriographic comparison of amaurosis fugax and hemispheric transient ischaemic attacks
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