AMAUROSIS FUGAX: THE IMPORTANCE OF CAROTID PLAQUE MORPHOLOGY

Serial carotid MRI identifies rupture of a vulnerable plaque resulting in amaurosis fugax.

A 66-year-old man with cryptogenic ischemic stroke and multiple acute ischemic lesions in the right middle cerebral artery territory was enrolled in the CAPIAS trial (Carotid Plaque Imaging in Acute Stroke; NCT01284933). Baseline carotid MRI demonstrated a right-sided nonstenotic American Heart Association type-VI plaque with a large lipid/necrotic core and intraplaque hemorrhage (figure 1). El...

Amaurosis fugax: risk factors and prevalence of significant carotid stenosis

PURPOSE The purpose of this study was to describe clinical characteristics and prevalence of carotid stenosis in patients with amaurosis fugax (AF). METHOD Patients diagnosed with AF and subjected to carotid ultrasound in 2004-2010 in Sahlgrenska University Hospital, Gothenburg (n=302), were included, and data were retrospectively collected from medical records. RESULTS The prevalence of si...

Amaurosis fugax and carotid artery disease: indications for angiography.

A prospective study of 80 patients presenting with amaurosis fugax was performed in an attempt to relate clinical features to angiographic findings in the internal carotid artery. Carotid bruit, transient cerebral ischaemic attacks, hypertension, and claudication were associated with a high prevalence of angiographic abnormality. Every patient who showed all these features had an operable lesio...

The natural history of amaurosis fugax.

Amaurosis fugax in young adults.

EDITOR,-We read with interest the article by O'Sullivan et al.' The nine presented patients went through extensive investigations, including echocardiograms in all cases. Yet, no evidence of an embolic or atheromatous aetiology was found. Unfortunately, the authors failed to mention whether the echocardiography was transthoracic or transoesophageal. We had experience with a 29-year-old woman, w...