Abstract
Vascular bruits result from loss of laminar flow in blood vessels. Increased blood velocity or vessel tortuosity cause turbulence, which produces vibration of the vessel wall. If laminar flow is maintained, even with increased blood velocity, no bruit will result (Fig. 7.1). Neck bruits conducted from cardiac murmurs, e.g., aortic stenosis, similarly represent carotid wall vibration secondary to turbulence distal to the abnormal heart valve.
Where observation is concerned, chance favours only the prepared mind.
Louis Pasteur, 1822–1895
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Spencer M. Vascular murmurs. In: Spencer MP, Reid JMR. eds. Cerebrovascular Evaluation with Doppler Ultrasound. The Hague: Martinus Nijhoff; 1981: pp 89–96.
Chambers BR, Norris JW. Clinical significance of asymptomatic neck bruits. Neurology. 1985 ;35: 742–745.
Mackenzie I. The intracranial bruit. Brain. 1955; 78:350–368.
Hu HH, Liao KK, Wong WJ, et al. Ocular bruits in ischemic cerebrovascular disease. Stroke. 1988; 19: 1229–1233.
Cushing H, Bailey P. Tumours Arising from the Blood Vessels of the Brain. London: 1928.
Travers B. A case of aneurism by anastomosis in the orbit, cured by ligature of the common carotid artery. Med-Chir Trans. 1813;2:1
Fowler NO, Marshall WJ. The supraclavicular arterial bruit. Am Heart J. 1965;69:410–418.
Fisher CM. Cranial bruit associated with occlusion of the internal carotid artery. Neurology. 1957;7: 299–306.
Pessin MS, Panis W, Prager RJ, et al. Auscultation of cervical and ocular bruits in extracranial carotid occlusive disease: A clinical and angiographic study. Stroke. 1983;14:246–251.
Inzitari D, Hachinski VC, Taylor DW, Barnett HJM. Racial differences in the anterior circulation of cerebrovascular disease: how much can be explained by risk factors. Arch Neurol. In press.
Wadia NH, Monckton G. Intracranial bruits in health and disease. Brain. 1957;80:492–509.
Fowler, NO, Gause R. The cervical venous hum. Am Heart J. 1964;67:135–136.
Hennerici M, Aulich A, Sandmann W, et al. Incidence of asymptomatic extracranial arterial disease. Stroke. 1981;12:750–755.
Allen N, Mustian V. Origin and significance of vascular murmurs of the head and neck. Medicine. 1962;41:227–247.
Ziegler DK, Zileli T, Dick A, et al. Correlation of bruits over the carotid artery with angiographically demonstrated lesions. Neurology. 1971 ;21:860–865.
Ingall TJ, Homer D, Whisnant JP, et al. Predictive value of carotid bruit for carotid atherosclerosis. Arch Neurol. 1989;46:418–422.
Howard VJ, Howard G, Harpold GJ, et al. Correlation of carotid bruits and carotid atherosclerosis detected by B-mode real-time ultrasonography. Stroke. 1989;20:1331–1335.
David TE, Humphries AW, Young JR, et al. A correlation of neck bruits and arteriosclerotic carotid arteries. Arch Surg. 1973;107:729–731.
Heyman A, Wilkinson WE, Heyden S, et al. Risk of stroke in asymptomatic persons with cervical arterial bruits. N Engl J Med. 1980;302:838–841.
Wolf PA, Kannel WB, Sorlie P, et al. Asymptomatic carotid bruit and risk of stroke. The Framingham study. JAMA. 1981;245:1442–1445.
Cutler JL. Cerebrovascular disease in an elderly population. Circulation. 1967;36:394–399.
Roederer GO, Langlois YE, Jager KA, et al. The natural history of carotid arterial disease in asymptomatic patients with cervical bruits. Stroke. 1984; 15:605–613.
Hennerici M, Aulich A, Freund H-J. Carotid system syndromes. In: Vinken PJ, Bruyn GW, Klawans HL, eds. Handbook of Clinical Neurology. Amsterdam: Elsevier Science Publishers; 1989: pp 291–337.
Zhu CZ, Norris JW Role of carotid stenosis in ischemic stroke. Stroke. 1990;21:1131–1134.
Wolf PA, Kannel WB, Verter J. Current status of risk factors for stroke. In: Barnett HJM, ed. Neurologic Clinics, Symposium on Cerebrovascular Disease. WB. Saunders; 1981:317–320.
Ford CS, Howard VJ, Howard G, et al. The sex difference in manifestations of carotid bifurcation disease. Stroke. 1986;17:877–880.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer Science+Business Media New York
About this chapter
Cite this chapter
Norris, J.W. (1991). Head and Neck Bruits in Stroke Prevention. In: Norris, J.W., Hachinski, V.C. (eds) Prevention of Stroke. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4226-8_7
Download citation
DOI: https://doi.org/10.1007/978-1-4757-4226-8_7
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-4228-2
Online ISBN: 978-1-4757-4226-8
eBook Packages: Springer Book Archive