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Carotid disease in acute stroke: a review.
MedLine Citation:
PMID:  17895165     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
This article reviews the literature about carotid disease in acute stroke. Several conclusions are drawn. First, carotid disease is an important cause of ipsilateral cortical strokes, with significant ipsilateral disease found in about one fourth of patients. Second, the role of carotid disease in lacunar stroke is less certain but probably causes a small number of lacunar infarcts. Third, the majority of infarcts that occur with severe carotid stenosis or acute carotid occlusion are caused by cerebral emboli, whereas most infarcts with preexisting occlusion are probably caused by hemodynamic factors. Fourth, the optimal timing of carotid surgery in acute stroke is uncertain. Clinical trials of endarterectomy in acute stroke are now required.
Authors:
G E Mead; P A O'Neill
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  8     ISSN:  1052-3057     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:    1999 Jul-Aug
Date Detail:
Created Date:  2007-09-26     Completed Date:  2009-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  197-206     Citation Subset:  -    
Affiliation:
The Western General Hospital, Edinburgh, UK.
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