Adult man, 54-years-old,
with a bruit near the carotid bifurcation at the left side. The patient had
a cerebral infarction a few weeks ago.
Causes of cerebral
atheroma/arteriosclerosis (usual site: carotid bifurcation), thromboembolic
disease (usual site: middle cerebral artery), arteritis (usual site: smaller
peripheral arteries), dissecting aortic aneurysm (usual site: common carotid
artery, subclavian artery origins) and hypotension (usual site: areas between
anterior, middle and posterior cerebral artery territories).
Stenosis of the
left carotid artery near the origin of the carotid bifurcation
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