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NEUROLOGY 1991;41:1092
© 1991 American Academy of Neurology

Fatal brainstem stroke following internal jugular vein catheterization

Michael A. Sloan, MD, James D. Mueller, MD, Lester S. Adelman, MD; and and Louis R. Caplan, MD

Department of Neurology (Drs. Sloan, Adelman, and Caplan) and Division of Neuropathology, Department of Pathology (Drs. Mueller and Adelman), Tufts-New England Medical Center, Boston, MA.

Neurologic complications of central venous catheterization are uncommon, and there are no reports of cerebrovascular events. We report a case of massive postoperative vertebrobasilar territory stroke following internal jugular vein cannulation due to inadvertent vertebral artery injury. Autopsy revealed thrombosis at the site of puncture wound in the right vertebral artery, with emboli present in the distal basilar artery.

Address correspondence and reprint requests to Dr. Michael A. Sloan, Department of Neurology, University of Maryland Hospital, 22 S. Greene Street, Baltimore, MD 21201.

Received July 24, 1990. Accepted for publication in final form December 6, 1990.






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