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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 64-year-old man with a history of smoking and hypercholesterolemia has a sudden, transient loss of vision in his left eye. He reports a prior episode during which he had difficulty speaking and mild weakness of the right hand. The results of an examination are normal except for a bruit in the left side of the neck. He is found to have
The Clinical Problem
Strategies and Evidence
Carotid Endarterectomy for Symptomatic Carotid Stenosis
Carotid Endarterectomy for Asymptomatic Carotid Stenosis
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Neurology, Division of Epidemiology, of the Mailman School of Public Health and the Sergievsky Center, Columbia University College of Physicians and Surgeons and New York Presbyterian Hospital, New York.
Address reprint requests to Dr. Sacco at the Neurological Institute, 710 W. 168th St., New York, NY 10032, or at rls1@columbia.edu.
References
Related Letters:
Extracranial Carotid Stenosis
Kaufman J. L., Hoefnagels W.A.J., Roubin G. S., New G., Sacco R. L.
Extract |
Full Text |
PDF
N Engl J Med 2002;
346:1590-1591, May 16, 2002.
Correspondence
This article has been cited by other articles:
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