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OnExamination FRCS General Surgery (Updated Feb 2023) (PDF)
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Demo Question
Which one of the following is a feature of carotid artery stenosis? Ataxia Drop attacks Central retinal artery occlusion Episodic vertigo Ipsilateral hemiplegia Key Learning Point
Signs typical of the anterior (carotid) territory include ipsilateral retinal artery occlusion/amaurosis fugax, contralateral hemiplegia, dysphasia, and sensory loss.
Explanation
Signs typical of the anterior (carotid) territory include:
- Ipsilateral retinal artery occlusion/amaurosis fugax
- Contralateral hemiplegia
- Dysphasia, and
- Sensory loss.
Features of the vertebrobasilar artery include vertigo/drop attacks, ataxia and vertigo.
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