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NEUROLOGY 1998;51:1709-1710
© 1998 American Academy of Neurology

Transient ischemic attacks caused by trumpet playing

Stefan Evers, MD, Henning Henningsen, MD and E.-Bernd Ringelstein, MD

From the Department of Neurology, University of Münster, Germany.

Address correspondence and reprint requests to Dr. Stefan Evers, Dept. of Neurology, University of Münster, Albert-Schweitzer-Str. 33, D-48129 Münster, Germany; e-mail: everss{at}uni-muenster.de

We report a young musician who experienced transient ischemic attacks during trumpet playing. Cardiovascular examination revealed a patent foramen ovale; Doppler ultrasound of the middle cerebral arteries detected microembolic signals with increased rates during trumpet playing and Valsalva maneuver. After operative occlusion of the foramen ovale, the symptoms disappeared and no microembolic signals could be detected.


Received April 13, 1998. Accepted in final form July 23, 1998.




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