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J Neurol Neurosurg Psychiatry 78:1292 doi:10.1136/jnnp.2007.125880
  • Carotid stenosis
    • Editorial commentary

Identification of “high risk” asymptomatic carotid stenosis: we need to get a better yield from invasive treatments

  1. Stefano Ricci
  1. Dr Stefano Ricci, UOCD Neurologia e Ictus, USL 2 dell’ Umbria, Perugia, Italy; istitaly{at}unipg.it

    Inflammatory activity is higher in those patients who have controlateral symptoms than in those without any history of cerebrovascular disorders, suggesting that inflammation of atheroma may be a systemic event, and that symptoms in one territory may increase the risk in other territories

    Would you put your money on a stock option, with a 3% probability of totally loosing your capital within 1 month and, if this disaster does not happen, a 1% higher yield each year, compared with your usual investment? Many readers (and the writer as well!) would answer “no thanks” to this offer. This is, roughly speaking, the situation of endarterectomy …

    [Full text of this article]

    Relevant Article

    • Paper: Comparison of the inflammatory burden of truly asymptomatic carotid atheroma with atherosclerotic plaques contralateral to symptomatic carotid stenosis: an ultra small superparamagnetic iron oxide enhanced magnetic resonance study
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      J Neurol Neurosurg Psychiatry 2007;78:12 1337-1343 Published Online First: 19 June 2007 doi:10.1136/jnnp.2007.118901