Amaurosis fugax: Difference between revisions

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==Treatment==
If the diagnostic workup reveals a systemic disease process, directed therapies to treat that underlying etiology should be initiated.  If the amaurosis fugax is caused by an atherosclerotic lesion, [[aspirin]] is indicated, and a [[carotid endarterectomy]] if the stenosis is surgically accessible.  Generally, if the carotid artery is still patent, the greater the stenosis, the greater the indication for endarterectomy.  "Amaurosis fugax appears to be a particularly favorable indication for carotid endarterectomy. Left untreated, this event carries a high risk of stroke; after carotid endarterectomy, which has a low operative risk, there is a very low postoperative stroke rate."<ref name="bernstein">Bernstein EF, Dilley RB. "Late results after carotid endarterectomy for amaurosis fugax." ''J Vasc Surg.'' 1987 Oct;6(4):333-40. PMID 3656582.</ref>  If the full diagnostic workup is completely normal, patient observation is recommended.<ref name="ASG" />


==Related Chapters==
==Related Chapters==

Revision as of 15:03, 26 November 2012