Reader response: Swallowing-induced displacement of the carotid artery as a risk of stroke: Flip-flop phenomenon

We read with interest the report by Kinoshita et al.1 The authors elegantly illustrated the migration of the internal carotid artery (ICA) with swallowing and speculated that these dynamic anatomical relationships could play a causal role in ipsilateral silent stroke and amaurosis fugax in the presence of a moderate ICA plaque.