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November 1966

Atheromatous Embolism to the Brain, Retina, and Choroid

Author Affiliations

New York
From the Department of Ophthalmology, New York University Medical School, New York.

Arch Ophthalmol. 1966;76(5):690-695. doi:10.1001/archopht.1966.03850010692012

Embolization by cholesterol crystals from ulcerated atheromata of the aorta or carotid arteries has been postulated as the source of brightly glittering yellow-orange plaques seen at times in the retinal arterioles.1-7 The pupose of this paper is to present a case of a patient in whom such plaques were studied both clinically and histologically. Comparison of the ocular and systemic pathology of this case and the ocular pathology of the two cases reported previously is made.8,9

Report of a Case  A 70-year-old white man was admitted to Bellevue Hospital in a stuporous condition, with a flaccid right hemiparesis, right hemianesthesia, and bilateral Babinski's signs. His blood pressure was 168/92. Laboratory examination showed glucosuria and mild pyuria; results of fasting blood sugar test, serologic test for syphilis, and lumbar puncture were normal. Electrocardiograms showed the changes of an evolving anterior myocardial infarction. An electroencephalogram was markedly and diffusely

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