[Course and prognosis of unilateral carotid artery occlucion (author's transl)].

Archiv für Psychiatrie und Nervenkrankheiten
G Haferkamp

Abstract

In 80 patients with unilateral carotid artery occlusions who had neurological symptoms, course and prognosis without anticoagulant or surgical therapy were analyzed. 17.5% of these patients died within 4 weeks, 43% of this group from extracerebral complications. The survival-time of those patients, surviving the acute stage, was also shortened: one year later only 67% of the patients were still alive, 5 years later 58% and after 10 years only 42%. Many cases died from further cerebrovascular strokes. In most of the patients carotid artery occlusion is only one of the symptoms of a generalized artery disease, i.e. arteriosclerosis. Resulting poor collateral circulation may be the crucial factor leading to the poor prognosis as to survival and rehabilitation: only 3.8% of the patients returned to work, 19% are able to walk, and 55% need nursing. These facts demand prophylactic measures: first a decisive therapy with respect to the risk factors of stroke, second an alertness to transitory ischemic attacks or small strokes. The latter were found in 56% of our patients. The literature and value of different therapeutic measures will be discussed.

References

Jan 1, 1974·Stroke; a Journal of Cerebral Circulation·J P Whisnant
Jul 1, 1971·Stroke; a Journal of Cerebral Circulation·W B Kannel
Oct 1, 1971·Journal of Neurology, Neurosurgery, and Psychiatry·R V Jeffreys, A E Holmes
Mar 1, 1971·Stroke; a Journal of Cerebral Circulation·C H Millikan
Jan 1, 1970·Brain : a Journal of Neurology·F SindermannJ Dichgans
Jan 1, 1970·Stroke; a Journal of Cerebral Circulation·A M Landolt, C H Millikan
Oct 1, 1968·Neurology·R N BakerJ C Ramseyer
Jan 1, 1967·Archiv für Psychiatrie und Nervenkrankheiten·F Sindermann
Jan 1, 1957·Acta neurochirurgica·K SASTRASIN
Dec 1, 1958·Journal of Chronic Diseases·S J CUTLER, F EDERER
Feb 1, 1962·Archives of Neurology·W G HARDYE S GURDJIAN

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