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NEUROLOGY 1987;37:511
© 1987 American Academy of Neurology

Dental chair intracerebral hemorrhage

N. Barbas, MD, L. Caplan, MD, G. Baquis, MD, L. Adelman, MD and M. Moskowitz, MD

Departments of Neurology (Drs. Barbas, Caplan, and Baquis) and Neuropathology (Dr. Adelman), New England Medical Center and Tufts University School of Medicine, and the Department of Neurology (Dr. Moskowitz), Massachusetts General Hospital and Harvard Medical School, Boston, MA.

A 52-year-old woman had a fatal intracerebral hemorrhage after dental manipulation. Normotensive in the past, the initial blood pressure was high but rapidly returned to normal. Necropsy showed no vascular malformation or evidence of hypertensive vascular disease. Clinical and experimental data show that stimulation of trigeminal fibers can cause important changes in blood pressure and pulse.

Address correspondence and reprint requests to Dr. Caplan, Department of Neurology, New England Medical Center, 171 Harrison Avenue, Boston, MA 02111.

Received March 10, 1986. Accepted for publication in final form June 24, 1986.




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[Abstract] [Full Text] [PDF]


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