Abstract

Presentation of Case A 74-year-old man was admitted to the hospital because of a question of acute ischemic optic neuropathy. There was a history of atherosclerotic peripheral vascular disease of many years' duration. A myocardial infarct occurred more than 20 years before admission. Seven years before entry a left below-knee amputation was performed because of assumed gangrene. Five years before admission the patient began to experience bouts of transient monocular blindness that involved the upper or lower visual field in the left eye. Forty-five months before entry noninvasive carotid studies, performed elsewhere, were reported to show bilateral carotid disease that . . .

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