Arterial bruits in cerebrovascular disease

Abstract
Bruits were commonly heard with about equal frequency, approximately 40%, in patients with cerebrovascular disease, those of similar age without clinical evidence of cerebrovascular disease, and healthy young adults. There were significant differences in the location and character of the bruits which occurred in patients with stroke and a control group of similar age when compared with the young adults. In patients with cerebrovascular disease and in the control group, the bruits were more commonly heard in the midportion of the neck over the carotid artery. In young adults, they were usually heard low in the neck and on the right side. In patients with cerebrovascular disease who had bruit and angiography, there was a high percent (76%) who had arterial obstruction demonstrable on the angiogram at the site of the bruit. This relationship should prove of value in selecting patients with cerebrovascular disease for angiography prior to contemplating surgery. Strokes appear to be more common in patients with bruit and hypertension than in others with either finding alone.

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