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February 1960

Bilateral Carotid Artery Occlusive Disease: A Report of Four Patients

Author Affiliations

New York
From the Second (Cornell) Medical and Neurological Service, Bellevue Hospital.

AMA Arch Neurol. 1960;2(2):130-133. doi:10.1001/archneur.1960.03840080016003

Bilateral carotid artery occlusion has been reported by several authors.1,3-5 The symptoms of progressive dementia3,4 have been stressed as the outstanding feature, and it has been suggested that many patients with senile and presenile dementia possibly have bilateral carotid artery obstruction or occlusion. Other reports mention bilaterality of hemiplegia and sudden coma. In a group of 23 patients with carotid artery disease, 4 were found to have bilateral obstruction or occlusion. The clinical pictures of these four patients being so varied and somewhat at variance with previous reports, the histories were believed to be of interest.

Report of Cases 

Case 1.  —A woman, age 37, was first seen on July 22, 1956. She was in good health until three days before admission, when, while taking a shower, she suddenly fell backward, striking her head on the floor, and was unconscious for a few moments. On recovery she had no

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