Carotid Compression and Rotation of the Head in Occlusive Vertebral Artery Disease
Authors: RAYMOND B. BAUER
Journal: Annals of Internal Medicine (1961)

Article1 August 1961Carotid Compression and Rotation of the Head in Occlusive Vertebral Artery DiseaseRelation to Carotid Sinus SensitivityRAYMOND B. BAUER, M.D., NORMAN WECHSLER, M.D., JOHN S. MEYER, M.D.RAYMOND B. BAUER, M.D.Search for more papers by this author, NORMAN WECHSLER, M.D.Search for more papers by this author, JOHN S. MEYER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-55-2-283 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1959 Toole (1) reported the importance of the position of the head while performing the carotid compression test during electroencephalography. He theorized that vertebral artery compression due to turning of the head might account for a significant increase in electroencephalographic abnormalities during carotid compression when compared to performance of the test with the head in the neutral position. He argued cogently that such compression of the vertebral artery, combined with carotid compression, would make the brain more ischemic. It was postulated that vertebral arterial compression would be still another factor which might contribute to causing the so-called "cerebral form"...References1. TOOLE JF: I. Stimulation of the carotid sinus in man. II. The significance of head positioning. Amer. J. Med. 27: 952, 1959. CrossrefMedlineGoogle Scholar2. ASK-UPMARK E: Carotid sinus and cerebral circulation. Acta Psychiat. Scand., Supp. 6, pp. 1-374, 1935. Google Scholar3. WEBSTERGURDJIANMARTIN JEESFA: Mechanism of syncope due to unilateral compression of carotid bifurcation. Arch. Neurol. Psychiat. 74: 556, 1955. CrossrefGoogle Scholar4. OCHSSENSENBACHMADISON LWL: Primary thrombosis of the internal carotid artery. Amer. J. Med. 17: 374, 1954. CrossrefMedlineGoogle Scholar5. GASTAUTFISCHGOLDMEYER HHJS: Conclusions of the international colloquium on anoxia and the EEG, in Cerebral Anoxia and the Electroencephalogram, ed. by Meyer, J. S., and Gastaut, H., Charles C Thomas, Springfield, Ill., 1961, Chap. 52, pp. 599-617. Google Scholar6. FERRISCAPPSWEISS EBRBS: Carotid sinus syncope and its bearing on the mechanisms of the unconscious state and convulsions. Medicine 14: 377, 1935. CrossrefGoogle Scholar7. TOOLETUCKER JFSH: Influence of head position on cerebral circulation. Arch. Neurol. 2: 616, 1960. CrossrefMedlineGoogle Scholar8. HARDESTYROBERTSTOOLEROYSTER WHBJFHP: Studies of carotid artery blood flow in man. New Engl. J. Med. 263: 944, 1960. CrossrefMedlineGoogle Scholar9. SHEEHANBAUERMEYER SRBJS: Vertebral artery compression in cervical spondylosis. Neurology 10: 968, 1960. CrossrefGoogle Scholar10. HARDINWILLIAMSONSTEEGMAN CAWPAT: Vertebral artery insufficiency produced by cervical osteoarthritic spurs. Neurology 10: 855, 1960. CrossrefMedlineGoogle Scholar11. BAUERSHEEHANMEYER RBSJS: An arteriographic study of cerebrovascular disease in man. 2. Cerebral symptoms due to kinking, tortuosity and compression of carotid and vertebral arteries in the neck. Arch. Neurol. 4: 119, 1961. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: RAYMOND B. BAUER, M.D.; NORMAN WECHSLER, M.D.; JOHN S. MEYER, M.D.Affiliations: Detroit, MichiganReceived for publication March 17, 1961.From the Departments of Neurology, Wayne State University College of Medicine and the Detroit Receiving Hospital, Detroit, Mich.This work was supported by grants from the National Institute of Neurological Diseases and Blindness and the National Heart Institute of the U. S. Public Health Service, and the Receiving Hospital Research Corporation.Dr. Bauer is a Special Clinical Trainee (BT 498), National Institute of Neurological Disease and Blindness, U. S. Public Health Service.Requests for reprints should be addressed to John S. Meyer, M.D., Chairman, Department of Neurology, Wayne State University College of Medicine, 1401 Rivard St., Detroit 7, Mich. 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