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Management of patients with asymptomatic neck bruits and carotid stenosis

N M Bornstein1, J W Norris

  • 1Stroke Unit, Tel Aviv-Elias Sourasky Medical Centre, Sackler School of Medicine, Tel Aviv University, Israel.

Neurologic Clinics
|February 1, 1992
PubMed

Insights

Extracranial occlusive lesions contribute to ischemic stroke. Management of asymptomatic carotid stenosis remains controversial, and this review aids clinicians in patient care decisions.

Area of Science:

  • Neurology
  • Vascular Medicine

Background:

  • Extracranial occlusive lesions are recognized contributors to ischemic stroke pathogenesis.
  • The clinical significance and optimal management of asymptomatic carotid stenosis are subjects of ongoing debate.

Purpose of the Study:

  • To review current data on asymptomatic carotid bruit and stenosis.
  • To provide guidance for clinicians managing these patients.

Main Methods:

  • Comprehensive literature review of existing data.
  • Analysis of studies pertaining to asymptomatic carotid stenosis and bruit.

Main Results:

  • Data on the role of extracranial occlusive lesions in stroke pathogenesis is established.
  • Significant controversy persists regarding the management of asymptomatic carotid stenosis.

Conclusions:

  • Clinicians require detailed data to effectively manage patients with asymptomatic neck bruits or stenosis.
  • Further research may clarify optimal treatment strategies for asymptomatic carotid stenosis.

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