Abstract To the Editor.— I wish also to reply to Dr Mayer's letter that appeared in the August issue of the Archives (34:517, 1977) concerning the article written by Dr Roome and myself entitled "Spontaneous Dissecting Aneurysm of the Internal Carotid Artery" (Arch Neurol 34:251, 1977).I have reviewed 14 previously reported cases of spontaneous dissecting aneurysm of the extracranial portion of the internal carotid artery. The clinical features were given in ten cases. Brice and Crompton1 reported the occurrence of earache and pain in the cheek, each in one instance. Lloyd and Bahnson's2 patient had roaring in the ear on the affected side. Three patients had generalized headache (Brice and Crompton,1 case 1; Bostrom and Liliequist,3 case 1; and Thapedi et al4). Patient 3 of Brice and Crompton1 had unilateral headache in addition to the earache. Headache was not mentioned in four cases (Anderson References 1. Brice JG, Crompton MD: Spontaneous dissecting aneurysms of the internal carotid artery . Br Med J 2:790-792, 1964. 2. Lloyd J, Bahnson HT: Bilateral dissecting aneurysm of the internal carotid arteries . Am J Surg 122:549-551, 1971.Crossref 3. Bostrom K, Liliequist B: Primary dissecting aneurysm of the extracranial part of the internal carotid and vertebral arteries: A report of three cases . Neurology 17:179-186, 1967.Crossref 4. Thapedi IM, Ashenhurst EM, Rozdilsky B: Spontaneous dissecting aneurysm of the internal carotid artery in the neck: Report of a case and review of the literature . Arch Neurol 23:549-554, 1970.Crossref 5. Anderson RM, Schechter MM: A case of spontaneous dissecting aneurysm of the internal carotid artery . J Neurol Neurosurg Psychiatry 22:195-201, 1959.Crossref 6. Burklund CW: Spontaneous dissecting aneurysm of the cervical carotid artery: A report of surgical treatment in two patients . Johns Hopkins Med J 126:154-159, 1970.
Archives of Neurology – American Medical Association
Published: Jan 1, 1978
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