oa South African Medical Journal - Thrombosis of the carotid artery
A case of hemiplegia due to the thrombosis of the right common carotid artery is presented. This would seem to be only the second case reported in the literature as far as could be determined. The underlying aetiology was undetermined and the patient belonged to the group presenting with explosive symptoms. The absence of fundal changes and visual disturbances is noted. The pathogenesis and the clinical features of thrombosis of the carotid vessels are discussed and the possibility that reflex spasm plays a part in the premonitory symptoms and in the productions of the full syndrome is stressed. An unusually high red cell count as a possible factor in the pathogenesis of the thrombosis in this patient is commented upon. The several points in the diagnosis are enumerated and the importance of the palpation of the arterial peripheral pulses in the carotid and temporal regions is stressed. The various aspects of treatment depending on the particular phase of the pathology are considered.
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