This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (15)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

LTC Jerry R. Youkey, MC, USA; G. Patrick Clagett, MD; CPT Jonathan H. Jaffin, MC, USA; MAJ Joseph E. Parisi, MC, USA; Norman M. Rich, MD

Arch Surg. 1984;119(9):1080-1084.

Abstract
• We studied four patients with focal motor seizures complicating carotid endarterectomy and compared them with 14 other cases reported previously. Seventeen of the 18 patients had high-grade carotid stenoses. A severe unilateral headache usually preceded seizure activity, which was followed by prolonged Todd's paralysis. Eight patients had histories of ipsilateral stroke. There was no association with perioperative hypertension. Two patients who were receiving heparin sodium had intracerebral hemorrhages that caused one of the two postoperative deaths. The patency of all endarterectomized carotid arteries was recorded by arteriography or noninvasive studies. These data suggest that patients who have severe unilateral headaches following ipsilateral carotid endarterectomy for high-grade stenoses are at risk for focal motor seizures. The roles of antithrombotic agents and anti-seizure medication in this setting are unclear.

(Arch Surg 1984;119:1080-1084)

Author Affiliations
From the Department of Surgery, Walter Reed Army Medical Center, Washington, DC (Drs Youkey, Clagett, and Jaffin); the Department of Neuropathology, Armed Forces Institute of Pathology, Washington, DC (Dr Parisi); and the Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md (Drs Youkey, Clagett, and Rich).

Footnotes
Accepted for publication Jan 19, 1984.

The views or assertions contained herein are the private views of the authors and are not to be construed as reflecting the views of the Department of the Army or the Department of Defense.

Reprint requests to Peripheral Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC 20307 (Dr Youkey).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Cerebral Hyperperfusion Syndrome: A Case Report and Literature Review
Rippy and Wolfe
VASC ENDOVASCULAR SURG 2002;36:291-295.
ABSTRACT  

Seizures Following Carotid Endarterectomy
Kieburtz et al.
Arch Neurol 1990;47:568-570.
ABSTRACT