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Previous Volume 339:1774-1775 December 10, 1998 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Modern diagnostic techniques allow the detection of many potentially dangerous conditions before patients get sick, often before symptoms occur. The ability to detect four such conditions — asymptomatic carotid-artery stenosis,¹ atrial fibrillation without brain embolism,² vascular malformations in the brain,^3,4 and cerebral aneurysms^5,6,7 — has led to controversy about preventive treatment. All four are serious disorders that can cause disabling or fatal brain infarction or hemorrhage. Treatment of these conditions — surgery in patients with carotid artery disease, aneurysms, or vascular malformations and anticoagulant therapy in elderly persons with atrial fibrillation — carries considerable risks as well as potential benefits. . . . [Full Text of this Article]

References

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