{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T21:31:37Z","timestamp":1765402297732,"version":"3.46.0"},"reference-count":8,"publisher":"BMJ","issue":"6237","license":[{"start":{"date-parts":[[1980,8,9]],"date-time":"1980-08-09T00:00:00Z","timestamp":334627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J"],"published-print":{"date-parts":[[1980,8,9]]},"abstract":"<jats:p>Two women of reproductive age suffered strokes. Neither was taking oral contraceptives, and investigations showed no other causal factors. The radiological findings were characteristic of traumatic internal carotid artery occlusion, but neither patient gave a history of trauma. Only after further inquiry into the patients' social circumstances did it emerge that each had survived an attempt at strangulation by her husband. Such a cause of stroke in young women should be considered when other causes of carotid artery occlusion cannot be identified.<\/jats:p>","DOI":"10.1136\/bmj.281.6237.421","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T18:32:30Z","timestamp":1238697150000},"page":"421-422","source":"Crossref","is-referenced-by-count":18,"title":["Conjugal disharmony: a hitherto unrecognised cause of strokes."],"prefix":"10.1136","volume":"281","author":[{"given":"N","family":"Milligan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1980,8,9]]},"reference":[{"key":"ref_1","article-title":"Neurological complications of oral contraceptives","author":"Bickerstaff, E.R.","year":"1975","unstructured":"Bickerstaff, ER. Neurological complications of oral contraceptives. 1st ed. Oxford: Clarendon Press, 1975.","edition":"1st ed"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/00005373-197105000-00008","article-title":"Carotid artery injuries due to closed cervical trauma","volume":"11","author":"Jernigan, W.R.; Gardner, W.C.","year":"1971","unstructured":"Jernigan WR, Gardner WC. Carotid artery injuries due to closed cervical trauma. J Trauma 1971;11:429-35.","journal-title":"J Trauma"},{"key":"ref_3","first-page":"926","article-title":"Traumatic thrombosis of the internal carotid artery","volume":"ii:","author":"Little, J.M.; May, J.; Vanderfield, G.K.; Lamond, S.","year":"1969","unstructured":"Little JM, May J, Vanderfield GK, Lamond S. Traumatic thrombosis of the internal carotid artery. Lancet 1969;ii:926-31.","journal-title":"Lancet"},{"key":"ref_4","first-page":"764","article-title":"Carotid thrombosis due to intraoral trauma","volume":"274","author":"Pitner, S.E.","year":"1966","unstructured":"Pitner SE. Carotid thrombosis due to intraoral trauma. NEngl3r Med 1966; 274:764-7."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1097\/00005373-196705000-00001","article-title":"Carotid artery occlusion due to non-penetrating injury","volume":"7","author":"Yamada, S.; Kindt, G.W.; Youmans, JR","year":"1967","unstructured":"Yamada S, Kindt GW, Youmans JR. Carotid artery occlusion due to non-penetrating injury. J Trauma 1967;7:333-41.","journal-title":"J Trauma"},{"author":"Accepted 30_7une 1980)","key":"ref_6","unstructured":"(Accepted 30_7une 1980)"},{"key":"ref_7","article-title":"Mr Justice Lindley ruled that, as far as Captain and Mrs Braddell were concerned, there was no evidence to show that they authorised or directed any examination of the plaintiff unless she consented, and, consequently, that there was no case for assault against them, and left it to the jury to say whether Dr Sutcliffe had either made the examination against the plaintiff's will or in an improper manner. The jury found in his favour on both points, and a verdict was entered for all the defendants. The issue of this case is thus satisfactory; but medical men cannot be too strongly cautioned never to undertake any examination of the kind except with the full consent of the individual given before witnesses. Neither the direction of a mistress nor a police-order suffices; the subject must assent of her own will","volume":"1880","unstructured":"Mr Justice Lindley ruled that, as far as Captain and Mrs Braddell were concerned, there was no evidence to show that they authorised or directed any examination of the plaintiff unless she consented, and, consequently, that there was no case for assault against them, and left it to the jury to say whether Dr Sutcliffe had either made the examination against the plaintiff's will or in an improper manner. The jury found in his favour on both points, and a verdict was entered for all the defendants. The issue of this case is thus satisfactory; but medical men cannot be too strongly cautioned never to undertake any examination of the kind except with the full consent of the individual given before witnesses. Neither the direction of a mistress nor a police-order suffices; the subject must assent of her own will. (British Medical Journal, 1880.)","journal-title":"(British Medical Journal"},{"key":"ref_8","series-title":"1157). The dates in table I should have read 1964-77, not 1968-77","first-page":"p","article-title":"Progestogens and cardiovascular reactions associated with oral contraceptives and a comparison of the safety of 50-and 30-yg oestrogen preparations An error occurred in this","year":"May,","unstructured":"Progestogens and cardiovascular reactions associated with oral contraceptives and a comparison of the safety of 50-and 30-yg oestrogen preparations An error occurred in this paper by Dr T W Meade and others (10 May, p 1157). The dates in table I should have read 1964-77, not 1968-77."}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.281.6237.421","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.281.6237.421","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T21:29:15Z","timestamp":1765402155000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.281.6237.421"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1980,8,9]]},"references-count":8,"journal-issue":{"issue":"6237","published-online":{"date-parts":[[1980,8,9]]},"published-print":{"date-parts":[[1980,8,9]]}},"alternative-id":["10.1136\/bmj.281.6237.421"],"URL":"https:\/\/doi.org\/10.1136\/bmj.281.6237.421","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"type":"print","value":"0007-1447"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1980,8,9]]}}}