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Neurology 2002;59:1797-1798
© 2002 American Academy of Neurology
Brief Communications

Carotid artery dissection after the intracarotid amobarbital test

Tobias Loddenkemper, MD, Harold H. Morris, III, MD and John Perl, II, MD

From the Departments of Neurology (Drs. Loddenkemper and Morris) and Neuroradiology (Dr. Perl), The Cleveland Clinic Foundation, Cleveland, OH.

Address correspondence and reprint requests to Dr. Harold H. Morris III, Section of Epilepsy, The Cleveland Clinic Foundation, 9500 Euclid Ave., S-51, Cleveland, OH 44195; e-mail: morrish{at}ccf.org

A retrospective chart review of 435 consecutive intracarotid amobarbital tests (IAT) was performed to determine the frequency of carotid artery dissection (CAD) associated with IAT. Three patients with a CAD were found (0.7%). Mean age of patients with dissection (51.3 years) was higher than the average age of 432 patients without dissection (31.7 years) (p < 0.05). All patients had clinical symptoms including face or neck pain. Patients undergoing the IAT are at risk of CAD. Age may be a risk factor.




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[Abstract] [Full Text] [PDF]


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