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December 1951

HEMIPLEGIA AND THROMBOSIS OF THE INTERNAL CAROTID SYSTEM

Author Affiliations

MONTREAL, CANADA; GENEVA, SWITZERLAND

From the Department of Neurology and Neurosurgery, McGill University, and the Montreal Neurological Institute.

AMA Arch NeurPsych. 1951;66(6):752-782. doi:10.1001/archneurpsyc.1951.02320120085011
Abstract

CLINICAL recognition of thrombosis of the carotid vessels has opened a new field, which is increasing in importance. From early times this condition has been described as a rare finding at autopsy. It should now be recognized as a reasonably clear-cut clinical entity. Consequently, a series of cases is described and the differential diagnosis discussed.

The clinical recognition of this condition has been made possible by angiography, and it was in 1937 that Egas Moniz called attention to the angiographic appearance. In the same year blockage of the internal carotid artery was observed and reported by one of us (A. R. E.)1 at the meeting of the Association for Research in Nervous and Mental Diseases in New York, using repeated injections of thorotrast® by the open technique.

More cases have been collected over the years and subjected to analysis. As they form an important clinical entity, it was

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