Head and Neck Bruits in Stroke Prevention

  • John W. Norris


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.


Stroke Prevention Carotid Stenosis Carotid Artery Stenosis Carotid Disease Carotid Bruit 
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  1. 1.
    Spencer M. Vascular murmurs. In: Spencer MP, Reid JMR. eds. Cerebrovascular Evaluation with Doppler Ultrasound. The Hague: Martinus Nijhoff; 1981: pp 89–96.CrossRefGoogle Scholar
  2. 2.
    Chambers BR, Norris JW. Clinical significance of asymptomatic neck bruits. Neurology. 1985 ;35: 742–745.PubMedCrossRefGoogle Scholar
  3. 3.
    Mackenzie I. The intracranial bruit. Brain. 1955; 78:350–368.PubMedCrossRefGoogle Scholar
  4. 4.
    Hu HH, Liao KK, Wong WJ, et al. Ocular bruits in ischemic cerebrovascular disease. Stroke. 1988; 19: 1229–1233.PubMedCrossRefGoogle Scholar
  5. 5.
    Cushing H, Bailey P. Tumours Arising from the Blood Vessels of the Brain. London: 1928.Google Scholar
  6. 6.
    Travers B. A case of aneurism by anastomosis in the orbit, cured by ligature of the common carotid artery. Med-Chir Trans. 1813;2:1Google Scholar
  7. 7.
    Fowler NO, Marshall WJ. The supraclavicular arterial bruit. Am Heart J. 1965;69:410–418.PubMedCrossRefGoogle Scholar
  8. 8.
    Fisher CM. Cranial bruit associated with occlusion of the internal carotid artery. Neurology. 1957;7: 299–306.PubMedCrossRefGoogle Scholar
  9. 9.
    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.PubMedCrossRefGoogle Scholar
  10. 10.
    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.Google Scholar
  11. 11.
    Wadia NH, Monckton G. Intracranial bruits in health and disease. Brain. 1957;80:492–509.PubMedCrossRefGoogle Scholar
  12. 12.
    Fowler, NO, Gause R. The cervical venous hum. Am Heart J. 1964;67:135–136.PubMedCrossRefGoogle Scholar
  13. 13.
    Hennerici M, Aulich A, Sandmann W, et al. Incidence of asymptomatic extracranial arterial disease. Stroke. 1981;12:750–755.PubMedCrossRefGoogle Scholar
  14. 14.
    Allen N, Mustian V. Origin and significance of vascular murmurs of the head and neck. Medicine. 1962;41:227–247.CrossRefGoogle Scholar
  15. 15.
    Ziegler DK, Zileli T, Dick A, et al. Correlation of bruits over the carotid artery with angiographically demonstrated lesions. Neurology. 1971 ;21:860–865.PubMedCrossRefGoogle Scholar
  16. 16.
    Ingall TJ, Homer D, Whisnant JP, et al. Predictive value of carotid bruit for carotid atherosclerosis. Arch Neurol. 1989;46:418–422.PubMedCrossRefGoogle Scholar
  17. 17.
    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.PubMedCrossRefGoogle Scholar
  18. 18.
    David TE, Humphries AW, Young JR, et al. A correlation of neck bruits and arteriosclerotic carotid arteries. Arch Surg. 1973;107:729–731.PubMedCrossRefGoogle Scholar
  19. 19.
    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.PubMedCrossRefGoogle Scholar
  20. 20.
    Wolf PA, Kannel WB, Sorlie P, et al. Asymptomatic carotid bruit and risk of stroke. The Framingham study. JAMA. 1981;245:1442–1445.PubMedCrossRefGoogle Scholar
  21. 21.
    Cutler JL. Cerebrovascular disease in an elderly population. Circulation. 1967;36:394–399.PubMedCrossRefGoogle Scholar
  22. 22.
    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.PubMedCrossRefGoogle Scholar
  23. 23.
    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.Google Scholar
  24. 24.
    Zhu CZ, Norris JW Role of carotid stenosis in ischemic stroke. Stroke. 1990;21:1131–1134.PubMedCrossRefGoogle Scholar
  25. 25.
    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.Google Scholar
  26. 26.
    Ford CS, Howard VJ, Howard G, et al. The sex difference in manifestations of carotid bifurcation disease. Stroke. 1986;17:877–880.PubMedCrossRefGoogle Scholar

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© Springer Science+Business Media New York 1991

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  • John W. Norris

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