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A 72-year-old white male was referred for evaluation and management following the finding of an asymptomatic carotid bruit, picked up on routine physical examination by his primary-care physician. The patient was asymptomatic with respect to ocular or hemispheric ischaemic events. His risk factors included a 30-year history of smoking one pack of cigarettes a day, which he quit a year ago. He had...
A 63-year old female was referred to our hospital because she had a mass on the right side of the neck. The swelling had slowly progressed in a couple of months. Besides problems with swallowing there were no other complaints. Her previous medical history was unremarkable and she could not remember any family members with similar lesions. Physical examination showed a non-tender mass with a diameter...
A 51-year-old male experienced over a period of 6 months a major stroke and several transient ischemic attacks (TIAs) of vertebrobasilar distribution. The original episode consisted of loss of balance, loss of coordination, and loss of the left visual field while driving a bus, which resulted in a road accident. Since then, he had experienced four additional episodes of aphasia and paraparesis lasting...
A 12-year old Korean girl was presented with neck pain and transiently dimmed vision. One year before presenting, the patient developed fever, malaise and bilateral neck pain followed by right leg claudication. More recently, she experienced dimming of the visual field in both eyes, aggravated when facing upwards. She did not have episodes of imbalance, loss of coordination, diplopia or vertigo. She...
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