Archiv für Psychiatrie und Nervenkrankheiten

, Volume 228, Issue 4, pp 341–350 | Cite as

Beidseitiger Verschluß der Arteria carotis interna mit binasalem Gesichtsfeldausfall und partieller Opticusatrophie

  • E. Fabian
Article

Zusammenfassung

Es wird über einen Fall von doppelseitigem Carotisinterna-Verschluß berichtet, der einen binasalen quadrantenförmigen Gesichtsfeldausfall mit partieller Opticusatrophie als einzige Symptome hatte. Nach einer Übersicht der Literatur über Verschlüsse der Arteriae carotides internae und ihrer Kollateralverbindungen folgt eine Diskussion über die möglichen pathogenetischen Mechanismen.

Schlüsselwörter

Beidseitiger Verschluß der Arteria carotis interna Binasaler Gesichtsfeldausfall Partielle Opticusatrophie Embolie der Arteria Ophthalmica 

Bilateral occlusion of the internal carotid artery with binasal visual field defect and partial optic atrophy

Summary

A case of bilateral thrombotic occlusion of the internal carotid arteries is reported, with binasal quasiquadrant hemianopsia and partial optic atrophy as the only symptoms. Based on a survey of the literature on internal carotid occlusions and their collateral anastomoses, as well as on their ophthalmologic signs, the possible pathogenetic mechanisms are discussed.

Key words

Bilateral occlusion of the internal carotid arteries Binasal visual field defects Partial optic atrophy Ophthalmic artery embolism 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Babel J, Psilas K (1973) Les sténoses et les thromboses carotidiennes. Ophthalmologica (Basel) 167:273–285Google Scholar
  2. 2.
    Batley E (1955) Bilateral internal carotid artery thrombosis. Br J Radiol 28:472–473Google Scholar
  3. 3.
    Baumgart K (1965) L'occlusion bilatérale des artèresn carotides internes. Helv Med Acta 6: 625–638Google Scholar
  4. 4.
    Bergleiter R (1967) Die Bedeutung der Pulswelle für die zerebrale Hämodynamik. Deutscher Röntgenkongress 48:195–197Google Scholar
  5. 5.
    Bernheimer S (1891) Über Sehnervenveränderungen bei hochgradiger Sklerose der Gehirnarterien. Graefe's Archiv für Ophthalm. 27:37Google Scholar
  6. 6.
    Bossi R, Pisani C (1955) Collateral cerebral circulation through the ophthalmic artery and its efficiency in internal carotid occlusion. Br J Radiol 28:462–469Google Scholar
  7. 7.
    Castaigne P, Lhermitte F, Cambier J, Gautier J-C (1963) Obstruction bilatérale des carotides internes. La Presse Méd 15:757–760Google Scholar
  8. 8.
    Catlin D (1960) A case of carcinoma of the larynx surviving bilateral carotid artery ligation. Ann Surg 152:809–821Google Scholar
  9. 9.
    Clarke E, Harrison CV (1956) Bilateral carotid artery obstruction. Neurology (Minneap) 6:705–715Google Scholar
  10. 10.
    Crompton MR (1963) Retinal emboli in stenosis of the internal carotid artery. Lancet I:886Google Scholar
  11. 11.
    Doninger DE (1963) Bilateral complete carotid and basilar artery occlusion in a patient with minimal deficit. Neurology (Minneap) 13:673–678Google Scholar
  12. 12.
    Elschnig A (1893) Über den Einfluß des Verschlusses der Arteria ophthalmica und der Carotis auf das Sehorgan. Graefes Arch, für Ophthalm. 39:151–177Google Scholar
  13. 13.
    Fields WS, Edwards WH, Crawford ES (1961) Bilateral carotid artery thrombosis. Arch Neurol 4:369–383Google Scholar
  14. 14.
    Fisher M (1951) Occlusion of the internal carotid artery. Arch Neurol Psychiat 65:346–358Google Scholar
  15. 15.
    Fisher CM (1959) Observations of the fundus oculi in transient monocular blindness. Neurology (Minneap) 9:333Google Scholar
  16. 16.
    Fogelholm R, Vuolio M (1969) The collateral circulation via the ophthalmic artery in internal carotid artery thrombosis. Acta Neurol Scand 45:78–86Google Scholar
  17. 17.
    Gillilan LA (1961) The collateral circulation in the human orbit. Arch Ophthalmol (Chic) 65:684–694Google Scholar
  18. 18.
    Gordon N (1959) Ocular manifestations of internal carotid artery occlusion. Br J Ophthalmol 43:257–267Google Scholar
  19. 19.
    Groch SN, Hurwitz LJ, McDowell F (1960) Bilateral carotid artery occlusive disease. AMA Arch Neurol 2:130–132Google Scholar
  20. 20.
    Gund A (1956) Die Klinik des Carotisverschlusses. Wien Klin Wochenschr 68:962–963Google Scholar
  21. 21.
    Hardy WG, Lindner DW, Thomas LM, Gurdjian ES (1962) Anticipated clinical course in a carotid artery occlusion. Arch Neurol (Chic) 6:138–148Google Scholar
  22. 22.
    Heinrichsdorff P (1914) Über die Veränderungen des Sehnerven durch Arteriosklerose an der Schädelbasis. Klin Monatsbl Augenheilkd 53:513–516Google Scholar
  23. 23.
    Hippel E von (1923) In: Graefe-Saemisch (Hrsg) Handbuch der Augenheilkunde, Bd VII, 2. Aufl. Springer, Berlin, S 416–422Google Scholar
  24. 24.
    Hollenhorst RW (1959) Ocular manifestations of insufficiency or thrombosis of the internal carotid artery. Am J Ophthalmol 47:753–767Google Scholar
  25. 25.
    Hollenhorst RW (1960) The ocular manifestations of internal carotid thrombosis. Med Clin North Am 44:897–908Google Scholar
  26. 26.
    Hollenhorst RW (1962) Carotid and vertebro-basilar arterial stenosis and occlusion: neuroophthalmologic considerations. Trans Am Acad Ophthalmol Otolaryngol 66:166–180Google Scholar
  27. 27.
    Igersheimer J (1959) Serious visual troubles caused by unusual circulatory disturbances in the region of the optic nerve. Am J Ophthalmol 6:767–771Google Scholar
  28. 28.
    Johnson HC, Walker E (1951) Diagnosis of thrombosis of the carotid arteries. J Neurosurg 8:631–659Google Scholar
  29. 29.
    Johnson HC (1953) Cervical intracarotid pressure studies: their significance in the management of intracranial aneurysms. Surgery 33:537–543Google Scholar
  30. 30.
    Karjalainen K (1971) Occlusion of the central retinal artery and retinal branch arterioles. Acta Ophthalmol [Suppl] 109Google Scholar
  31. 31.
    Kearns ThP, Hollenhorst RW (1963) Venous-stasis retinopathy of occlusive disease of the carotid artery. Staff Meet Mayo Clin 38:304–313Google Scholar
  32. 32.
    King AB, Langworthy OR (1941) Neurologic symptoms following extensive occlusion of the common or internal carotid artery. Arch Neurol Psychiat (Chic) 46:835–842Google Scholar
  33. 33.
    Löwenstein A (1935) Sehnervenschwund mit binasaler Hemianopsie durch Atheromdruck basaler Hirngefäße. Med Klin 6:176–179Google Scholar
  34. 34.
    McBrien DJ, Bradley RD, Ashton N (1965) The nature of retinal emboli in stenosis of the internal carotid artery. Lancet I:697–699Google Scholar
  35. 35.
    McClure Wilson (1965) Angiography in cerebrovascular occlusive disease. Am J Med Sci 250:554–559Google Scholar
  36. 36.
    Ojemann RG, Moser HW (1964) Acute bilateral internal carotid artery occlusion. Neurology (Minneap) 14:565–569Google Scholar
  37. 37.
    Sastrasin K (1957) Carotid thrombosis. An evaluation and follow-up study of 65 cases. Acta Neurochir 5:11–34Google Scholar
  38. 38.
    Shea M (1956) Carotid-ophthalmic anastomosis. Frequency of external carotid and ophthalmic artery anastomosis. Br J Ophthalmol 40:497–501Google Scholar
  39. 39.
    Siegert P (1938) Die ursächliche Bedeutung einer Verkalkung oder Thrombose der Carotis interna für Funktionsstörungen des Auges. Graefes Arch Ophthalmol 138:798–843Google Scholar
  40. 40.
    Silverstein A (1959) Occlusive disease of the carotid arteries. Circulation 20:4–11Google Scholar
  41. 41.
    Silverstein A, Lehrer GM, Mones R (1960) Relation of certain diagnostic features of carotid occlusion to collateral circulation. Neurology (Minneap) 10:409–417Google Scholar
  42. 42.
    Sindermann F (1967) Krankheitsbild und Kollateralkreislauf bei einseitigem und doppelseitigem Carotisverschlu(B. J Neurol Sci 5:9–25Google Scholar
  43. 43.
    Sindermann F (1967) Angiographische und klinische Bedeutung der Kollateralen bei Verschluß der Arteria carotis interna. Arch Psychiat Nervenkr 209:207–226Google Scholar
  44. 44.
    Smith VH (1961) Pressure changes in the ophthalmic artery after carotid occlusion. An experimental study in the rabbit. Br J Ophthalmol 45:1–26Google Scholar
  45. 45.
    Sugar HS, Webster JE, Gurdjian ES (1950) Ophthalmologic findings in spontaneous thrombosis of the carotid arteries. Arch Ophthalmol 44:823–832Google Scholar
  46. 46.
    Tölle R (1942) Doppelseitige Thrombose der Arteria carotis interna. Zentralbl Chir 69: 219–236Google Scholar
  47. 47.
    Walsh, Hoyt (1969) Clinical neuro-ophthalmology, 3rd edn. Williams and Wilkins Co, Baltimore, Bd IIGoogle Scholar
  48. 48.
    Webster JE, Dolgoff S, Gurdjian ES (1950) Spontaneous thrombosis of the carotid arteries in the neck. Arch Neurol Psychiat 63:942–954Google Scholar

Copyright information

© Springer-Verlag 1980

Authors and Affiliations

  • E. Fabian
    • 1
  1. 1.Abteilung für Klinische Psychiatrie II im Zentrum der Psychiatrie der Johann-Wolfgang-Goethe-Universität Frankfurt a. M.Frankfurt a. M.Bundesrepublik Deutschland

Personalised recommendations