Marcel M, Leys D, Mounier-Vehier F, Bertheloot D, Lartigau E, Pruvo J P, Al-Koussa M, Chevalier D, Henon H
Department of Neurology, Lille University Hospital, Lille, France.
Neurology. 2005 Sep 27;65(6):959-61. doi: 10.1212/01.wnl.0000176033.64896.c6.
The authors followed up 41 consecutive patients (21 symptomatic) with internal carotid artery stenosis > or =70% and previous neck irradiation. After 28 months, 15 patients (36.6%) had died, five (12.2%) had had an ischemic stroke, and 15 (36.6%) had a new malignancy. Having a new malignancy was the only independent predictor of death. The major risk for patients with ICA stenosis > or =70% and previous neck irradiation is malignancy, not stroke.
