scholarly journals Blunt Traumatic Pericardial Rupture with Traumatic Amaurosis Fugax Presenting as Massive Haemothorax: A Conundrum?

2019 ◽  
Vol 09 (02) ◽  
pp. 9-16
Author(s):  
Isaac Okyere ◽  
Samuel Gyasi Brenu ◽  
Perditer Okyere
Keyword(s):  
Amaurosis Fugax ◽  
Pericardial Rupture

Evidenzbasierte Indikationen zur chirurgischen Therapie extrakranieller Karotisstenosen

2003 ◽  
Vol 22 (05) ◽  
pp. 222-232
Author(s):  
H.-H. Eckstein
Keyword(s):  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Amaurosis Fugax

ZusammenfassungNach Durchführung prospektiv-randomisierter Studien liegen für die Karotis-Thrombendarteriektomie (KarotisTEA) höhergradiger Karotisstenosen gesicherte Indikationen auf dem Evidenzlevel Ia mit dem Empfehlungsgrad A vor. Dies betrifft sowohl >50%ige symptomatische als auch >60%ige asymptomatische Stenosen (NASCET-Kriterien). In Subgruppen-Analysen aus NASCET konnten klinische und morphologische Variablen identifiziert werden, die auf ein besonders hohes Risiko eines karotisbedingten Schlaganfalls im natürlichen Verlauf hinweisen. Patienten mit folgenden Variablen profitieren daher besonders von der Karotis-TEA: Stenosegrad >90%, schlechter Kollateralkreislauf, kontralateraler Karotisverschluss, Plaque-Ulzerationen, Tandemstenosen, intraluminale Thromben, nicht-lakunärer Hirninfarkt, Lebensalter >75 Jahre, komplexes klinisches Risikoprofil, Hemisphären-TIA (vs. Amaurosis fugax), männliches Geschlecht. Der präventive Effekt der Karotis-TEA kann jedoch nur unter Beachtung eines niedrigen perioperativen Schlaganfallbzw. Letalitätrisikos realisiert werden. Nach Empfehlungen der American Heart Association (AHA) darf das perioperative Risiko 3% bei asymptomatischen Stenosen ohne kontralaterale Stenose, 5% bei asymptomatischen Stenosen mit hochgradiger kontralateraler Stenose oder Verschluss und 6% bei symptomatischen >50%ige Stenosen (NASCET-Kriterien) nicht überschreiten. Die Ergebnisse der Qualitätssicherung Karotis-TEA der Deutschen Gesellschaft für Gefäßchirurgie (DGG) zeigen, dass diese maximal akzeptablen Obergrenzen zum Teil deutlich unterschritten werden. Vor diesem Hintergrund stellt das Stenting von Karotisstenosen einen klinischen Heilversuch dar, der nur nach interdisziplinärem Konsil und/oder i. R. randomisierter Studien zulässig ist.

Carotid endarterectomy for amaurosis fugax without angiography

1986 ◽  
Vol 152 (2) ◽  
pp. 172-174 ◽  
Author(s):  
John Walsh ◽  
Ira Markowitz ◽  
Morris D. Kerstein
Keyword(s):  
Carotid Endarterectomy ◽  
Amaurosis Fugax

Migraine or Amaurosis Fugax? the Value of Ultrasound

1990 ◽  
Vol 35 (5) ◽  
pp. 145-145 ◽  
Author(s):  
P.A.G. Sandercock ◽  
S.E. Smart
Keyword(s):  
Amaurosis Fugax

scholarly journals Amaurosis Fugax

1989 ◽  
Vol 52 (10) ◽  
pp. 1215-1215
Author(s):  
J. Bamford
Keyword(s):  
Amaurosis Fugax

scholarly journals The National Stroke Strategy – Is it Achievable?

2009 ◽  
Vol 91 (8) ◽  
pp. 641-644 ◽  
Author(s):  
TD Reid ◽  
LJ Finney ◽  
AR Hedges
Keyword(s):  
Education Programme ◽  
Medical Emergency ◽  
Minor Stroke ◽  
Amaurosis Fugax ◽  
Symptomatic Carotid ◽  
Public Response ◽  
Department Of Health ◽  
Mean Waiting Time ◽  
Rapid Access Clinic ◽  
The Uk

INTRODUCTION Timing of intervention in symptomatic carotid disease is critical. The UK Department of Health's National Stroke Strategy published in December 2007 recommends urgent carotid intervention within 48 h, in appropriate patients, who have suffered a transient ischaemic attack (TIA), amaurosis fugax or minor stroke. Despite the running of a rapid-access clinic for patients with symptoms of TIA, the time from symptom to surgery is rarely less than 2 weeks. To date, there has been little published research on the UK public response to the symptoms of TIA, and no study at all of the response of primary care to such patients. The aim of this study was to ascertain both these responses to see whether a 48-h target is achievable. PATIENTS AND METHODS A total of 402 men attending our aortic aneurysm screening sessions were asked to complete a questionnaire requesting their most likely response to an episode of amaurosis fugax or TIA. All 45 GP practices in the hospital catchment area were asked how they would respond to patients requesting to be seen with the symptoms used in the questionnaire. RESULTS Nearly one in six patients would ignore the symptom unless it recurred, approximately half would request a GP appointment and a third would see an optician if they had amaurosis fugax. The mean waiting time to see a GP was 2 days for a routine appointment and within 24 h for an emergency appointment. CONCLUSIONS It is clear that a significant number of people would ignore the first symptom of carotid ischaemia; for those with amaurosis fugax, nearly a third would initially seek help from their optician. Those given a routine GP appointment would have to wait a minimum of 2 days. If the Department of Health is serious about reducing the incidence of stroke and introducing a target of 48 h from symptom to treatment, then there needs to be a wide-spread public and healthcare education programme, in particular alerting opticians and GP receptionists that these symptoms constitute a medical emergency.

Recurrent amaurosis fugax and hemichorea: limb-shaking TIA

2015 ◽  
Vol 15 (3) ◽  
pp. 218-220 ◽  
Author(s):  
Edward T Littleton ◽  
Nicholas Glover ◽  
Alok Tiwari
Keyword(s):  
Amaurosis Fugax ◽  
Limb Shaking

Amaurosis fugax - Studien über Hämodynamik und Plättchenfunktion

1980 ◽  
Vol 176 (02) ◽  
pp. 328-333 ◽  
Author(s):  
H. Bettelheim ◽  
G. Grabner ◽  
H. Schuster ◽  
R. Dudczak ◽  
K. Lechner ◽  
...  
Keyword(s):  
Amaurosis Fugax
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