Case Reports1 May 1954SPONTANEOUS PARTIAL OCCLUSION OF THE INNOMINATE ARTERY: REPORT OF A CASE WITH ANGIOCARDIOGRAPHIC CONFIRMATIONNICHOLAS P. CHRISTY, M.D., LOWELL G. LUBIC, M.D., MELVIN D. YAHR, M.D.NICHOLAS P. CHRISTY, M.D.Search for more papers by this author, LOWELL G. LUBIC, M.D.Search for more papers by this author, MELVIN D. YAHR, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-40-5-1040 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe clinical syndrome of carotid artery occlusion with resultant cerebral vascular insufficiency is well recognized, having been emphasized as long ago as 1914 by Hunt1 and more recently reviewed by Galdston and his associates.2 There are varied etiologic factors. Carotid arteriosclerosis with superimposed thrombosis is thought to be the commonest offender,2 while trauma,1 "serpentine" aneurysms3 and embolization1, 2, 4 have also been implicated. Signs of optic nerve damage on the side of the thrombosed vessel occurring together with contralateral hemiplegia should arouse suspicion of carotid artery occlusion.5, 6 Carotid angiography may confirm the clinical impression.7Disease of more proximal vessels,...Bibliography1. Hunt JR: The role of the carotid arteries in the causation of vascular lesions of the brain, with remarks on certain special features of the symptomatology, Am. J. M. Sc. 147: 704, 1914. CrossrefGoogle Scholar2. GaldstonGovonsWortisSteeleTaylor MSSBJMHK: Thrombosis of the common, internal, and external carotid arteries. A report of two cases with a review of the literature, Arch. Int. Med. 67: 1162, 1941. CrossrefGoogle Scholar3. Saphir O: Serpentine aneurysms of the internal carotid artery with resulting encephalomalacia and cerebral hemorrhage, Arch. Path. 20: 36, 1935. Google Scholar4. GurdjianWebster ESJE: Stroke resulting from internal carotid artery thrombosis in the neck, J. A. M. A. 151: 541, 1953. MedlineGoogle Scholar5. Fisher M: Transient monocular blindness associated with hemiplegia, Arch. Ophth. 47: 167, 1952. CrossrefMedlineGoogle Scholar6. WalshSmith FBGW: The ocular complications of carotid angiography. The ocular signs of thrombosis of the internal carotid artery, J. Neurosurg. 9: 517, 1952. CrossrefMedlineGoogle Scholar7. JohnsonWalker HCAE: The angiographic diagnosis of spontaneous thrombosis of the internal and common carotid arteries, J. Neurosurg. 8: 631, 1951. CrossrefMedlineGoogle Scholar8. WebsterDolgoffGurdjian JESES: Spontaneous thrombosis of the carotid arteries in the neck, Arch. Neurol. and Psychiat. 63: 942, 1950. CrossrefMedlineGoogle Scholar9. CooleyMcNamara LEFP: Syphilitic aortitis with aneurysm of the innominate artery, and occlusion of the left common carotid artery, Am. Heart J. 9: 686, 1933. CrossrefGoogle Scholar10. LevinsonEdmeadesGriffith DCDTGC: Dissecting aneurysm of the aorta: its clinical, electrocardiographic and laboratory features. A report of 58 autopsied cases, Circulation 1: 360, 1950. CrossrefMedlineGoogle Scholar11. WeismanAdams ADRD: The neurological complications of dissecting aortic aneurysm, Brain 67: 69, 1944. CrossrefGoogle Scholar12. MoerschSayre FPGP: Neurologic manifestations associated with dissecting aneurysm of the aorta, J. A. M. A. 144: 1141, 1950. CrossrefMedlineGoogle Scholar13. HonigSteinbergDotter EIICT: Innominate artery: angiocardiographic study, Radiology 58: 80, 1952. CrossrefMedlineGoogle Scholar14. DickinsonHoodSpencer EHRMFC: Traumatic aneurysm of the innominate artery, U. S. Armed Forces M. J. 3: 1871 (July-Dec.) 1952. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Received for publication September 4, 1953.From the Departments of Neurology and Medicine, the College of Physicians and Surgeons, Columbia University, the Neurological Institute, and the Presbyterian Hospital, New York, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1954Volume 40, Issue 5Page: 1040-1048KeywordsCarotid arteriesDiagnostic radiologyHospital medicineNeurologyOptic nerveSurgeonsSurgeryThrombosisVascular insufficiencyVascular medicine Issue Published: 1 May 1954 PDF downloadLoading ...