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December 1972

Stroke on the Wrong SideUse of the Doppler Ophthalmic Test in Cerebral Vascular Screening

Author Affiliations

Los Angeles
From the Department of Surgery, UCLA School of Medicine.

Arch Surg. 1972;105(6):943-947. doi:10.1001/archsurg.1972.04180120118021

Of 123 patients undergoing cerebral angiography for evaluation of transient ischemic attacks, 23 (19%) were found to have occlusion of one or both internal carotid arteries. In 15 patients the symptoms were well-localized to the hemisphere supplied by the occluded carotid artery. The majority of these patients defied clinical diagnosis prior to angiography despite the usual tests for cerebral vascular insufficiency. The Doppler ophthalmic test gives indications of being, perhaps, the most reliable screening examination for internal carotid artery occlusion.