Distribution of carotid arterial lesions in chinese patients with transient monocular blindness

Hung Yi Hsu, Fu Yi Yang, A. Ching Chao, Yen Yu Chen, Chin Ping Chung, Wen Yung Sheng, Han Hwa Hu

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4 Citations (Scopus)

Abstract

Background and Purpose - Asian patients with cerebrovascular diseases have more intracranial atherosclerosis and less extracranial carotid artery stenosis compared with white patients. We systemically evaluated the distribution of carotid arterial lesions in Chinese patients with transient monocular blindness (TMB), which was rarely reported. Methods - We prospectively evaluated 105 consecutive patients with TMB. All of the patients received ocular and physical examinations, blood tests for coagulation function and autoimmune diseases, and ultrasonography of cervical and intracranial arteries. All of the carotid lesions were confirmed by magnetic resonance angiography or cerebral angiography. Results - Of the 36 (34.3%) patients with significant carotid stenosis (>50%), 16 (15.2%) had extracranial carotid stenosis; 17 (16.2%) had carotid siphon stenosis; and 3 (2.9%) had both. The duration, onset, and patterns of visual loss were not different between patients with and without carotid arterial lesion. Conclusions - This study signified the importance of carotid siphon stenosis as a probable underlying etiology for TMB in Chinese patients.

Original languageEnglish
Pages (from-to)531-533
Number of pages3
JournalStroke
Volume37
Issue number2
DOIs
Publication statusPublished - Feb 1 2006
Externally publishedYes

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Keywords

  • Carotid arteries
  • Chinese
  • Siphon stenosis
  • Transient monocular blindness

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

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