Coincidental multiple asymptomatic intracranial aneurysms and symptomatic carotid stenosis.

Coincidental multiple asymptomatic intracranial aneurysms and symptomatic carotid stenosis.

A patient experiencing transient cerebral ischemic attacks (TIAs) was studied angiographically and found to have a symptomatic stenosis of the appropriate internal carotid artery (ICA) and three asymptomatic intracranial aneurysms. A therapeutic approach to this type of problem is discussed in this article.

How should physicians practically approach symptomatic and asymptomatic carotid stenosis?

Asymptomatic and Symptomatic Carotid Stenosis: An Obsolete Classification?

Since many years, clinical decisions about the management of patients with carotid stenosis have been based on the distinction between "asymptomatic" and "symptomatic" presentations. This was also reflected by the design of previous studies on the surgical versus conservative treatment and of current studies on interventional treatment versus surgery. Both terms, however, only address different...

Symptomatic Versus Asymptomatic High-Grade Internal Carotid Artery Stenosis

Background and Purpose Thromboembolic stroke is likely to occur in patients with a restricted cerebral blood flow reserve. Our aims were to determine (1) whether symptomatic patients had any significant hemodynamic restriction ipsilateral to carotid occlusive disease compared with patients whose carotid stenosis is asymptomatic and (2) whether patients with carotid occlusive disease have impair...

Incidental Intracranial Aneurysms in Patients With Internal Carotid Artery Stenosis

Background and Purpose—Smoking and hypertension are important risk factors for atherosclerotic carotid artery disease, but also for intracranial aneurysms. We studied the presence of aneurysms in a series of patients with internal carotid artery (ICA) stenosis and performed a systematic review of the literature to assess in patients with ICA stenosis the prevalence of intracranial aneurysms, ge...