Spasm of the Internal Carotid Artery

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It has long been known that sudden occlusion of the internal carotid artery may produce enough interference with the blood supply of the cerebral hemisphere on the same side as to cause severe symptoms. However, the role of minor trauma to the internal carotid artery in the production of cerebral dysfunctions appears to have been given insufficient attention, although Makins3 did raise the question whether spasm might be involved in cases of contusion of this vessel. The purpose of this report is to record a series of observations in which cerebral symptoms were produced from penetrating

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Figures

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    (left). Case 1. Anteroposterior view of the skull.

    (right). Case 1. Encephalogram, anteroposterior view, showing dilatation of the 3rd ventricle and left lateral ventricle. The bullet has been removed.

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    Case 2. Encephalogram, anteroposterior view, showing generalized ventricular dilatation.

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    Case 4. (A) Left internal carotid artery, described in the text. (B) Right internal carotid artery, normal control. Photomicrographs, ×100.

References

1.

CohenS. M. Traumatic arterial spasm. Brit. med. Bull.19442: 144145.Cohen S. M. Traumatic arterial spasm. Brit. med. Bull. 1944 2: 144–145.

2.

HolbournA. H. S. Mechanics of head injuries. Lancet19432: 438441.Holbourn A. H. S. Mechanics of head injuries. Lancet 1943 2: 438-441.

3.

MakinsG. H. On gunshot injuries to the blood-vessels founded on experience gained in France during the great war 1914–1918. Bristol: J. Wright & Sons1919xii 251 pp.Makins G. H. On gunshot injuries to the blood-vessels founded on experience gained in France during the great war 1914–1918. Bristol: J. Wright & Sons 1919 xii 251 pp.

4.

MonizE. Trombosis y otras obstrucciones de las carótidas. Barcelona: Salvat Editores1941173 pp.Moniz E. Trombosis y otras obstrucciones de las carótidas. Barcelona: Salvat Editores 1941 173 pp.

5.

NorthfieldD. W. C. Traumatic dilatation of the cerebral ventricles. J. Nenrol. Neurosurg. Psychiat.1944 n.s. 7: 16.Northfield D. W. C. Traumatic dilatation of the cerebral ventricles. J. Nenrol. Neurosurg. Psychiat. 1944 n.s. 7: 1–6.

6.

ScheinkerI. M. Vasoparalysis of the central nervous system, a characteristic vascular syndrome. Significance in the pathology of the central nervous system. Arch. Neurol. Psychiat. Chicago194452: 4356.Scheinker I. M. Vasoparalysis of the central nervous system a characteristic vascular syndrome. Significance in the pathology of the central nervous system. Arch. Neurol. Psychiat. Chicago 1944 52: 43–56.

7.

WakeleyC. P. G. and OrleyA. A textbook of neuro-radiology. London: Baillière, Tindall & Cox. 1938xiv 336 pp.Wakeley C. P. G. and Orley A. A textbook of neuro-radiology. London: Baillière Tindall & Cox. 1938 xiv 336 pp.

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