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October 5, 1963

Pseudo StrokeAcute Cerebrovascular Insufficiency with Congenital Carotid Kinking

JAMA. 1963;186(1):76-77. doi:10.1001/jama.1963.63710010033022d

SURGERY IS NOW being widely employed for correction of stenosis or occlusion of extracranial vessels caused by thrombosis, degenerative disease, or mechanical disorders. Although elongation and kinking of the carotid arteries from degenerative vascular disease has been reported as being an etiological agent in the development of intermittent attacks of cerebral vascular insufficiency,1 (particularly when the head is turned), kinking caused by a congenital disturbance has not, to our knowledge, been commented upon. The neurological arteriographic operation and postoperative findings are reported for a 78-year-old man who experienced an acute episode of cerebral vascular insufficiency and was found to have kinking of the right internal carotid artery by a dense fibrous band of connective tissue and complete congenital absence of the right external carotid artery.

Report of a Case  A 78-year-old, white, male retired office worker was admitted to the emergency room of the Washington Hospital Center at 2:40