TITLE

THE KINKED CAROTID SYNDROME

PUB. DATE
April 1969
SOURCE
Angiology;Apr1969, Vol. 20 Issue 4, p177
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A reduction in flow through either one or both internal carotid arteries is a frequent cause of cerebral insufficiency and may produce definite symptomatology. When angulation, kinking or buckling of the internal carotid artery is observed and held responsible for symptoms, the syndrome of "kinked carotid" is said to be present. This syndrome has been well reported as a cause of temporary and even permanent neurologic impairment. Acute cerebral ischemia may be produced when the head is suddenly turned and the blood supply shut off. Degrees of angulation vary from slight "kinking" to complete 360 degree looping of the internal carotid artery. As Metz et al. has shown, kinking occurs in all age groups and has a 16 per cent incidence in the general population. Whether these loops or kinks cause symptoms is debated by some; for it is known that transient ischemic episodes may occur spontaneously. The cessation of symptoms as a result of tho removal of a kink must therefore be interpreted with caution. This paper reports additional cases in which kinking was thought to be responsible for symptomatology and discusses the main types of internal carotid deformity and the surgical management of this condition.
ACCESSION #
16407261

 

Related Articles

  • Circulating Endothelial Cells as Potential Markers of Atherosclerosis. Yang Gao; Chunyan Liu; Xiangjian Zhang; Jian Gao; Chunyan Yang // Canadian Journal of Neurological Sciences;Nov2008, Vol. 35 Issue 5, p638 

    Background and Purpose: Vascular endothelial cell (VEC) injury represents a major initiating step in the process of atherosclerosis, which may lead to cerebral infarction. "Circulating endothelial cell" (CEC) is an index of ongoing endothelial injury, while intimal-medial thickness (IMT)...

  • Differing effect of modifiable cardiovascular risk factors on intima-media thickening and plaque formation at different sites of the arterial vasculature. Chaubey, Sanjay; Nitsch, Dorothea; Altmann, Daniel; Ebrahim, Shah // Heart;Oct2010, Vol. 96 Issue 19, p1579 

    Objective The effects of cardiovascular risk factors on the vascular anatomy at differing sites of the arterial vasculature have not been well described. The aim of this study was to compare the effect of cardiovascular risk factors on the intima media thickness (IMT) of the wall of the right...

  • Neuroimaging Highlight: Repeated Hemicraniectomy for Malignant Cerebral Edema: Getting it Right First Time. Farb, Richard; Pelz, David; Manawadu, Dulka; Butcher, Ken; Findlay, J. Max // Canadian Journal of Neurological Sciences;Nov2008, Vol. 35 Issue 5, p652 

    The article presents a case of 47-year-old man who was hospitalized with right-sided headache three week after sustaining a neck injury playing hockey. According to the article, the computer tomogram (CT) scan revealed the presence of a hyperdense right terminal internal carotid artery. Futher...

  • Blood pressure waveform analysis by means of wavelet transform. De Melis, Mirko; Morbiducci, Umberto; Rietzschel, Ernst R.; De Buyzere, Marc; Qasem, Ahmad; Van Bortel, Luc; Claessens, Tom; Montevecchi, Franco M.; Avolio, Albert; Segers, Patrick // Medical & Biological Engineering & Computing;Feb2009, Vol. 47 Issue 2, p165 

    The assessment of cardiovascular function by means of arterial pulse wave analysis (PWA) is well established in clinical practice. PWA is applied to study risk stratification in hypertension, with emphasis on the measurement of the augmentation index as a measure of aortic pressure wave...

  • Brain Ischemia Following Bilateral Carotid Occlusion During Development of Hypertension in Young Spontaneously Hypertensive Rats--Importance of Morphologic Changes of the Arteries of the Circle of Willis. Kusuda, Kenji; Ibayashi, Setsuro; Sadoshima, Seizo; Ishitsuka, Takao; Fujishima, Masatoshi // Angiology;May1996, Vol. 47 Issue 5, p455 

    The present study was designed to examine the effect of morphologic changes of the arteries of the circle of Willis on cerebral blood flow (CBF) and metabolism in young spontaneously hypertensive rats (SHR). CBF in the parietal cortex was measured by the hydrogen clearance method before and...

  • 18F-FDG accumulation in atherosclerosis: use of CT and MR co-registration of thoracic and carotid arteries. Okane, Kumiko; Ibaraki, Masanobu; Toyoshima, Hideto; Sugawara, Shigeki; Takahashi, Kazuhiro; Miura, Shuichi; Shimosegawa, Eku; Satomi, Junichiro; Kitamura, Keishi; Satoh, Tomohiko // European Journal of Nuclear Medicine & Molecular Imaging;May2006, Vol. 33 Issue 5, p589 

    Purpose: The purpose of this study was to depict 18F-fluoro-2-deoxy-D-glucose (FDG) accumulation in atherosclerotic lesions of the thoracic and carotid arteries on CT and MR images by means of automatic co-registration software. Methods: Fifteen hospitalised men suffering cerebral infarction or...

  • Using PET to identify carotid occlusion patients at high risk of subsequent stroke: further insights. Baron, J-C. // Journal of Neurology, Neurosurgery & Psychiatry;Dec2004, Vol. 75 Issue 12, p1659 

    The article focuses on the identification of patients at high risk of subsequent stroke to implement appropriate prevention. Although atherothrombotic occlusion of the internal carotid artery can cause a devastating stroke. In many instances it is a benign event, causing only transient ischaemic...

  • Vertebral artery stump syndrome. Nguyen, T. N.; Raymond, J.; Mahmoud, M.; Weill, A.; Roy, D.; Guilbert, F. // Journal of Neurology, Neurosurgery & Psychiatry;Jan2008, Vol. 79 Issue 1, p91 

    After occlusion of flow in an artery, further ischaemic episodes are not expected due to lack of a flow conduit to carry the embolus. In the carotid stump syndrome, ongoing ischaemic events may continue due to collateral flow via the external carotid artery. We report two patients presenting...

  • Mapping hypercapnia-induced cerebrovascular reactivity using BOLD MRI. Zande, F. H. R.; Hofman, P. A. M.; Backes, W. H. // Neuroradiology;Feb2005, Vol. 47 Issue 2, p114 

    Severe carotid artery stenosis or occlusion may put patients at risk for ischaemic stroke. Reduced cerebrovascular reserve capacity is a possible indicator of an imminent ischaemic event and can be determined by assessment of cerebrovascular reactivity to a vasodilative stimulus. However, little...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics