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May 1964

Stenotic Lesions of External Carotid ArteryCause of Bruit in the Neck

Arch Surg. 1964;88(5):842-846. doi:10.1001/archsurg.1964.01310230118023

In 1868, Prof H. Knapp1 wrote in von Graefe's Archiv für Ophthalmologie a paper titled, "Über Verstopfung der Blutgerfässe des Auges." The second case that he described was of Heinrich Meiss, a 46-year-old land owner from Waldmittelbach in Odenwald. This man complained of sporadic loss of vision in the right eye and of sensory and motor disturbances of the left body half. A bruit was heard over the right carotid. J. Ramsey Hunt,2 in 1914, noted that carotid pulses were sometimes diminished in hemiplegic patients with cerebrovascular disease and thought that lesions in the carotid were often overlooked. Moniz et al3 in 1937 reported four hemiplegic patients in whom angiograms had shown an occlusion of the internal carotid artery. More recently, Fisher4,5 and others, in studies on autopsy material, have shown a high incidence of arteriosclerotic changes in the cervical vessels in patients both with and

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