Document Detail


Predictive value of cervical bruit for the detection of obstructive lesions of the internal carotid artery. Data from 2000 patients.
MedLine Citation:
PMID:  2670817     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between January 1982 and June 1985, 2000 patients with either symptoms of cerebrovascular insufficiency (1873) or asymptomatic cervical bruits (127) were studied at the Surgical Department of the University of Brescia (Italy). Of these, 441 presented a mono- or bilateral cervical bruit. The value of the bruit as indicator of an obstructive pathology of the extracranial carotid artery was evaluated in comparison with the findings of Doppler spectrum analysis. A stenosis or occlusion of the internal carotid artery was present in 51% of the patients with a bruit (homolateral to the bruit in 91% of the cases) and in 9% of those without a bruit. Stenoses of a medium-high degree were those more often associated with the bruit. Both in patients with bruit and in those without bruit the age and the severity of the presenting symptoms significantly influenced the rate of association with lesions of the internal carotid artery was present in 51% of the patients with a bruit (homolateral to the bruit in 91% of the cases) and in 9% of those without a bruit. Stenoses of a medium-high degree were those more often associated with the bruit. Both in patients with bruit and in those without bruit the age and the severity of the presenting symptoms significantly influenced the rate of association with lesions of the internal carotid artery.
Authors:
M Floriani; S M Giulini; G P Anzola; S Bonardelii; N Portolani; M P Pasolini; G Tiberio
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Italian journal of neurological sciences     Volume:  10     ISSN:  0392-0461     ISO Abbreviation:  Ital J Neurol Sci     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-09-22     Completed Date:  1989-09-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8006502     Medline TA:  Ital J Neurol Sci     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  321-7     Citation Subset:  IM    
Affiliation:
Clinica Chirurgica dell'Università di Brescia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arterial Occlusive Diseases / diagnosis*,  pathology,  physiopathology
Carotid Artery Diseases / diagnosis*,  physiopathology,  radiography
Carotid Artery, Internal / physiopathology*
Female
Humans
Male
Middle Aged
Ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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