Response of Eye and Brain to Micro-emboli
Authors: JOSEPH H. RICHARDSON
Journal: Annals of Internal Medicine (1962)

Case Studies1 December 1962Response of Eye and Brain to Micro-emboliJOSEPH H. RICHARDSON, M.D., HENRY H. ALDERFER, M.D., F.A.C.P., JAMES D. REID, M.D.JOSEPH H. RICHARDSON, M.D.Search for more papers by this author, HENRY H. ALDERFER, M.D., F.A.C.P.Search for more papers by this author, JAMES D. REID, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-57-6-1013 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptVisual loss occurring with the neurologic manifestations of carotid atherosclerosis is receiving increasing attention by internists, neurologists, and ophthalmologists. These associated events are classified in order to emphasize an unusual case, and an hypothesis is presented to explain them.Carotid atherosclerosis can produce hemiparesis, hemiplegia, aphasia, psychic disturbances, ipsilateral headache, convulsions, and variable visual loss. Any combination of these features may appear abruptly, simulating stroke, recur transiently with complete clearing, or progress relentlessly, mimicking a brain tumor.The clinical events correlate poorly with the structural changes observed in the artery by arteriography or autopsy examination. Eighty per cent of carotid...References1. DENNY-BROWN D: Recurrent cerebrovascular episodes. Arch. Neurol. 2: 194, 1960. CrossrefMedlineGoogle Scholar2. MILLIKANSIEKERTSHICK CHRGRM: Studies in cerebrovascular disease. V. The use of anti-coagulant drugs in the treatment of intermittent insufficiency of the internal carotid arterial system. Proc. Mayo Clin. 30: 578, 1955. MedlineGoogle Scholar3. HOLLENHORST RW: Ocular manifestation of insufficiency or thrombosis of the internal carotid artery. Amer. J. Ophthal. 47: 753, 1959. CrossrefMedlineGoogle Scholar4. BARKER NW: Personal communication to authors of reference 2. Google Scholar5. FISHER M: Transient monocular blindness associated with hemiplegia. Arch. Ophthal. 47: 167, 1952. CrossrefMedlineGoogle Scholar6. JOHNSONWALKER HCAE: The angiographic diagnosis of spontaneous thrombosis of the internal and common carotid arteries. J. Neurosurg. 8: 631, 1951. CrossrefMedlineGoogle Scholar7. SPALTER HF: Ophthalmodynamometry and carotid artery thrombosis. Amer. J. Ophthal. 47: 453, 1959. CrossrefMedlineGoogle Scholar8. SWANRAAF KCJ: Changes in the eye and orbit following carotid ligation. Trans. Amer. Ophthal. Soc. 49: 435, 1951. MedlineGoogle Scholar9. FISHER CM: Observations of the fundus oculi in transient monocular blindness. Neurology (Minneap.) 9: 333, 1959. CrossrefMedlineGoogle Scholar10. HOLLENHORST RW: The ocular manifestations of internal carotid arterial thrombosis. Med. Clin. N. Amer. 44: 897, 1960. CrossrefMedlineGoogle Scholar11. FLORY CM: Arterial occlusion produced by emboli from eroded atheromatous plaques. Amer. J. Path. 21: 549, 1945. MedlineGoogle Scholar12. PROBSTEINJOSHIBLUMENTHAL JGRAHT: Atheromatous embolization: an etiology of acute pancreatitis. Arch. Surg. 75: 566, 1957. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Marion, IndianaRequests for reprints should be addressed to Joseph H. Richardson, M.D., 131 North Washington Street, Marion, Indiana. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNoninflammatory Vascular Disease of the KidneyNoninflammatory Vascular Diseases of the KidneyNoninflammatory Vascular Diseases of the KidneyAnticoagulant Therapy for Progressing StrokesCase 25-1967The Bjerrum Scotoma* *From the Department of Ophthalmology, University of California School of Medicine. This paper was presented at the 100th annual meeting of the American Ophthalmological Society, Hot Springs, Virginia, May 28-30, 1964. 1 December 1962Volume 57, Issue 6Page: 1013-1017KeywordsAngiographyAnticoagulant therapyArteriesAtherosclerosisAutopsyBrainConvulsionsHeadachesRetinaStroke Issue Published: 1 December 1962 PDF downloadLoading ...