PubMed · 872739
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F Sindermann. 1977-05-27. [Transient ischemic attack].. https://doi.org/10.1055/s-0028-1105447
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The authors practiced carotis duplex scanning examinations on 60 patients having lower limb artery disease. The patients were grouped according to, having cervical bruit or not. In the first group 100% had stenosis while in the second group had only 13.3%. Furthermore the stenosis--plack were analysed according to the severity of the lower limb artery disease. The severity of stenosis can be found in group "A" (bruit exists) and group "B" (no bruit) accordingly to the Fontaine stages. Stenosis higher then 50% was found in group "A" 3 in Fontaine stage II, and 10 in Fontaine stage III. While in group "B" there were no stenosis in Fontaine stage II, and 4 in Fontaine stage III. Out of thet not exceeded 3, 50%, and 1 was subtotal. Likewise, difference can be found of the presence of placks partly in the two groups, partly in the point of view of the stages of Fontaine. There are in group "A" 23 cases with 48 placks, in group "B" 14 cases with 23 placks. Among the patients of group "A" in 10 cases with were in Fontaine II, and 13 in Fontaine III stage. In group "B" 5 were in Fontaine II, and 9 in Fontaine III stage. Authors are calling the attention, that according to their own data, and the sensitivity of duplex scanning this is the most proper examination for recognising the carotid artery sclerosis which is associated with lower limb artery disease.
By means of colour-coded Doppler sonography we studied retrospectively the incidence of postoperative changes in 54 patients following 58 carotid endarterectomies. The interval between operation and ultrasound varied from one to 41 months. The overall incidence of recurrent carotid disease was 50% with a 31% (18 of 58) of hemodynamically insignificant restenoses, a 13.8% (8 of 58) incidence of haemodynamically significant restenoses, and a 5.2% (3 of 58) of occlusions. The segment that had been endarterectomized showed a bulbous dilatation in 24.1% (14 of 58). In all of these cases extensive flow reversal zones could be demonstrated, the possible importance of which is discussed. Examinations in 9 patients with reimplantation of subclavian artery to the common carotid artery and grafting technique between these arteries and in 11 patients with reimplantation of vertebral artery to the common carotid artery demonstrated one occlusion of the ipsilateral vertebral artery.
The chronic or indolent presentation of rhino-orbital mucormycosis, as defined by the presence of symptoms for more than 1 month before diagnosis, is extremely unusual. A 45-year-old man with stable diabetes presented with a right orbital apex syndrome and minimal ethmoid and sphenoid sinusitis. Progression was indolent, and the diagnosis was not made until 7 weeks after admission, when a third biopsy was prompted by new cavernous sinus and carotid artery thromboses. Mucormycosis was found. The patient improved on amphotericin B (2 g) and strict blood glucose control. A remarkable aberrant regeneration of the right oculomotor nerve was seen following treatment. He remains free of active disease 4 years later. Orbital symptoms in well-controlled diabetics, which may even remain stable for weeks and lack direct signs of tissue invasion, should raise the suspicion of mucormycosis.