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Focal Convulsions in Carotid Occlusive Disease

JOHN M. MORAN, MD; ISAAC O. MEHREZ, MD
Arch Surg. 1966;93(6):977-979. doi:10.1001/archsurg.1966.01330060121015.
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THE GREAT variety of signs and symptoms due to extracranial cerebrovascular occlusive disease has received increasing attention during the past decade since surgical treatment has become available. However, descriptions of the neurologic manifestations of carotid or vertebrobasilar disease found in the literature rarely include focal motor seizures, which are generally considered to be caused by cerebral scarring or neoplasm. The purpose of this paper is to draw attention to the focal convulsion as a presenting sign in carotid occlusive disease and to discuss the importance of the carotid bulb as a source of embolic material.

Report of Case  A 67-year-old retired seaman complained of sudden onset of weakness, numbness, and tingling of the right hand. There was gradual improvement but he sought medical attention and was admitted to the Boston City Hospital for study on June 7, 1964. He had been under treatment for congestive heart failure for four years

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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