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J Neurol Neurosurg Psychiatry 1999;66:4 doi:10.1136/jnnp.66.1.4
  • Editorial commentary

Detecting carotid stenoses

  1. P HUMPHREY
  1. Department of Neurology, Walton Centre for Neurology and Neurosurgery, Rice Lane, Liverpool L9 1AE, UK

      Carotid colour Doppler imaging is now available in many district general hospitals. However, there are often long waiting lists during which time patients are at their greatest risk of a major stroke. Meadet al (this volume, pp 16–19) have analysed the Doppler results in 726 patients who had had a carotid transient ischaemic attack or minor stroke in an attempt to define those clinical criteria which could be used to identify patients most likely to have a carotid stenosis of 70–99%.

      Although ipsilateral bruit is …

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