[Post-contusional obstructions of the internal carotid. 46 cases (author's transl)]

Thanks to analysis of 46 observations and the review of the literature, the authors enumerate the main physiopathological mechanisms of this uncommon entity with its ambiguous clinical aspects and it too often severe evolution. They bring some new elements of the prognosis and emphasize the necessity of a rational utilization of neuroradiological investigations in order to avoid some diagnostic traps and purpose the better treatment of which indications are analysed and censured. Extra-intracranial by-pass represents a new therapeutic advance which will perhaps improve the prognosis of this condition.