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NEUROLOGY 1989;39:1462
© 1989 American Academy of Neurology

Ocular stroke and carotid artery dissection

Nancy J. Newman, MD, Lanning B. Kline, MD, Dana Leifer, MD and Simmons Lessell, MD

From the Department of Ophthalmology (Drs. Newman and Lessell), the Massachusetts Eye and Ear Infirmary, and the Department of Neurology (Dr. Leifer), the Massachusetts General Hospital, Boston, MA; and the Department of Ophthalmology (Dr. Kline), University of Alabama School of Medicine, Birmingham, AL.

Carotid artery dissection frequently causes transient ipsilateral visual impairment. We present 2 cases of permanent ocular vaso-occlusion sequelae consequent to dissection of the ipsilateral internal carotid, definite in one and probable in the other. In both, the ocular strokes led to the recognition of the underlying carotid vasculopathy.

Address correspondence and reprint requests to Dr. Newman, Neuro-Ophthalmology Unit, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114.

Received March 29, 1989. Accepted for publication in final form May 5, 1989.




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