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Neurology 1999;53:421
© 1999 American Academy of Neurology


Brief Communications

Dysarthria during basilar artery balloon occlusion

A. Hartmann, MD, E. S. Conolly, MD, D. H. Duong, MD, C. J. Prestigiacomo, MD, S. Joshi, MD, J. P. Mohr, MD and H. Mast, MD

From the Columbia-Presbyterian Medical Center (Drs. Hartmann, Conolly, Duong, Prestigiacomo, Joshi, Mohr, and Mast), New York, NY; the Neurologische Klinik (Drs. Hartmann and Mast), Universitätsklinikum Benjamin Franklin, Berlin, Germany; and the Berufsgenossenschaftliche Kliniken der Stadt Halle (Dr. Mast), Bergmannstrost, Halle, Germany.

Address correspondence and reprint requests to Dr. Andreas Hartmann, Stroke Unit, The Neurological Institute, Columbia-Presbyterian Medical Center, 710 West 168th Street, New York, NY 10032.

A 49-year-old woman presenting with recurrent, reversible brainstem symptoms and a distal basilar artery aneurysm underwent balloon test occlusion. Five minutes after balloon inflation she developed a reversible isolated dysarthria. Despite failing the test occlusion (and after an additional brainstem event), the patient underwent surgery with placement of a clip across the basilar artery. The operation was tolerated without complication. The authors conclude that 1) pure dysarthria may be a symptom of temporary basilar artery occlusion and 2) balloon testing may overestimate the risk of basilar artery clipping.







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