Some Neurologic and Psychiatric Aspects of Bilateral Internal Carotid Occlusion

Publisher Website
Google Scholar
Abstract
Although the syndrome of internal carotid artery occlusion was first described by Ramsey Hunt in 1915, the neurological complications were not fully appreciated until recent years. Internal carotid occlusion has now been intensively studied, and the criteria for its diagnosis well defined (Websteret al., 1956; Shapiro and Peyton, 1954; McGuire and Jaeger, 1955; Smyth, 1954; Moniz, Lima and de Lacerda, 1937; Hultquist, 1942). Among its clinical manifestations psychiatric features have been mentioned: they range from so-called mental aberrations (Eisenberg, 1955), personality changes, emotional instability and memory loss (McGuire, 1955), to frank dementia (Fisher, 1941). Little attention, however, has been given to the problem of the relationship of bilateral internal carotid occlusion to dementia, and few attempts have been made to document by psychometric testing the degree of intellectual impairment. It is for this reason that a case of bilateral internal carotid occlusion is now reported.