Search

Physicians should be alert to the possibility of occlusion of one or more of the branches of the aortic arch in any patient having neurologic symptoms or complaint of claudication in the upper extremities. The finding of a pulse deficit in the neck or arm and a blood pressure difference of more than 30 mm of mercury between the two arms is pathognomic of this disease. The presence of the occlusive process can be confirmed and its extent determined by angiography.Vascular reconstruction can be expected to restore normal hemodynamics with gratifying relief of symptoms in the majority of cases.

1. From four out of six specimens of saliva from six cases of mumps in the early stages of the disease, a filterable cytotropic virus has been obtained which induces in M. rhesus monkeys, following inoculation of the parotid glands through Stensen's duct, an acute, non-suppurative parotitis analogous to mumps. 2. This virus has not been found in normal saliva, nor does it correspond to any known virus with which we are familiar. 3. The virus is free of demonstrable microorganisms including spirochetes. 4. It is judged that this virus is the causative agent of mumps.