Abstract
The syndrome of internal carotid artery occlusive disease has been well described in the last 20 years. Its neurological complications are well-known. The criteria for its diagnosis are firmly established. Its psychiatric semeiology, however, has been ignored in general, although mental disturbances are frequent symptoms of internal carotid insufficiency and occlusion. It is for this reason that a group of patients with internal carotid occlusion who displayed psychiatric symptomatology, some of which was difficult to evaluate, is presented. The cases were selected from the records of 160 patients evaluated for internal carotid artery occlusive disease at the Columbia-Presbyterian Medical Center. Brief case reports are presented to illustrate the wide variability of the psychiatric symptoms in the syndrome, the problems involved in its differential diagnosis, and the role of personality factors in organic brain disease.
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