TY  - JOUR
T1  - MIld cognitive impairment, carotid disease, and revascularization
AU  - Zazulia A
Y1  - 2009/02/25
N1  - 10.1001/jama.2009.172
JO  - JAMA
SP  - 829
EP  - 830
VL  - 301
IS  - 8
N2  - 
To the Editor: In his Clinical Crossroads article about Ms E, a 60-year-old woman with mild memory impairment, Dr Ellison indicated that “it is reasonable . . . to obtain carotid ultrasound studies to determine whether blood flow is compromised to the point of requiring intervention for stroke prevention.”1 Although Ms E has stroke risk factors, white matter disease, and an upgoing toe, she was not reported to have had a clinical event consistent with stroke or transient ischemic attack (TIA). Therefore, even if she had significant carotid stenosis, the stenosis would not be considered symptomatic, and revascularization therapy would not be indicated.

SN  - 0098-7484
M3  - doi: 10.1001/jama.2009.172
UR  - http://dx.doi.org/10.1001/jama.2009.172
ER  -