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D. C. Aberfeld, MD
870 UN Plaza New York, NY 10017

Arch Neurol. 1978;35(1):60-61.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I wish also to reply to Dr Mayer's letter that appeared in the August issue of the ARCHIVES (34:517, 1977) concerning the article written by Dr Roome and myself entitled "Spontaneous Dissecting Aneurysm of the Internal Carotid Artery" (Arch Neurol 34:251, 1977).

I have reviewed 14 previously reported cases of spontaneous dissecting aneurysm of the extracranial portion of the internal carotid artery. The clinical features were given in ten cases. Brice and Crompton¹ reported the occurrence of earache and pain in the cheek, each in one instance. Lloyd and Bahnson's² patient had roaring in the ear on the affected side. Three patients had generalized headache (Brice and Crompton,¹ case 1; Bostrom and Liliequist,³ case 1; and Thapedi et al⁴). Patient 3 of Brice and Crompton¹ had unilateral headache in addition to the earache. Headache was not mentioned in four cases (Anderson . . . [Full Text PDF of this Article]

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