Comparison of amaurosis fugax and transient cerebral ischemia: a prospective clinical and arteriographic study.

Journal Article (Journal Article)

We compared the clinical associations, arteriographic findings, and long-term outcome of 93 patients with amaurosis fugax and 212 patients with focal cerebral ischemia (transient ischemic attacks [TIAs]). The group of patients with cerebral TIAs included a significantly larger proportion of blacks and had a higher prevalence of hypertension than the group with amaurosis. Operable atherosclerotic lesions of the carotid arteries were more often associated with amaurosis (66%) than with cerebral TIAs (51%). The seven-year cumulative rate of cerebral infarction, however, was less in patients with amaurosis (14%) than in those with cerebral TIAs (27%; p less than 0.02). This difference in outcome persisted after adjustment for race, hypertension, and type of therapy. There were no significant differences, however, in the cumulative rates either of recurrent TIAs or of myocardial infarction or sudden death in the two groups of patients.

Full Text

Duke Authors

Cited Authors

  • Hurwitz, BJ; Heyman, A; Wilkinson, WE; Haynes, CS; Utley, CM

Published Date

  • December 1985

Published In

Volume / Issue

  • 18 / 6

Start / End Page

  • 698 - 704

PubMed ID

  • 4083852

International Standard Serial Number (ISSN)

  • 0364-5134

Digital Object Identifier (DOI)

  • 10.1002/ana.410180612

Language

  • eng

Conference Location

  • United States