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Authors' reply

BMJ 1995; 311 doi: (Published 25 November 1995) Cite this as: BMJ 1995;311:1436
  1. Antonio Carolei,
  2. Carmine Marini
  1. Professor of neurology Consultant neurologist Clinica Neurologica, Dipartimento di Medicina Interna e Sanita Pubblica, Universita degli Studi di L'Aquila, Ospedale S Maria di Collemaggio, 67100 L'Aquila-Collemaggio, Italy

    EDITOR,--Ajith Goonetilleke proposes a possible explanation for the good prognosis in young patients with symptomatic occlusion of the internal carotid artery in our study. Goonetilleke's hypothesis about the role of the residual cerebrovascular reserve capacity is supported by recent studies that have used transcranial Doppler sonography1 and is consistent with the young age of our patients. Unfortunately, transcranial Doppler sonography was not available in all participating centres at the time of the study, which hindered the …

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