Mungas J E, Baker W H
Stroke. 1977 Mar-Apr;8(2):232-5. doi: 10.1161/01.str.8.2.232.
We reviewed 112 patients with amaurosis fugax to refine our indications for carotid angiography. Eighty patients had a carotid endarterectomy. Thiry-four patients with ipsilateral hemispheric transient ischemic attacks plus amaurosis fugax all had an operable carotid lesion. The presence or absence of a carotid bruit, a normal or abnormal ophthalmologic examination, or a normal or abnormal cerebrovascular Doppler examination did not predict which patients would or would not have an operable carotid lesion. All patients with amaurosis fugax being evaluated for an operable carotid stenosis require angiography.
我们回顾了112例一过性黑矇患者，以完善我们进行颈动脉血管造影的指征。80例患者接受了颈动脉内膜切除术。34例伴有同侧半球短暂性脑缺血发作加一过性黑矇的患者均有可手术治疗的颈动脉病变。颈动脉杂音的有无、眼科检查正常或异常，或脑血管多普勒检查正常或异常，均不能预测哪些患者会有或不会有可手术治疗的颈动脉病变。所有因可手术治疗的颈动脉狭窄而接受评估的一过性黑矇患者均需进行血管造影。
