Focal motor seizures complicating carotid endarterectomy

J. R. Youkey, G. P. Clagett, J. H. Jaffin, Joseph E Parisi, N. M. Rich

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

We studied four patients with focal motor seizures complicating carotid endarterectomy and compared them with 14 other cases reported previously. Seventeen of the 18 patients had high-grade carotid stenoses. A severe unilateral headache usually preceded seizure activity, which was followed by prolonged Todd's paralysis. Eight patients had histories of ipsilateral stroke. There was no association with perioperative hypertension. Two patients who were receiving heparin sodium had intracerebral hemorrhages that caused one of the two postoperative deaths. The patency of all endarterectomized carotid arteries was recorded by arteriography or noninvasive studies. These data suggest that patients who have severe unilateral headaches following ipsilateral carotid endarterectomy for high-grade stenoses are at risk for focal motor seizures. The roles of antithrombotic agents and antiseizure medication in this setting are unclear.

Original languageEnglish (US)
Pages (from-to)1080-1084
Number of pages5
JournalArchives of Surgery
Volume119
Issue number9
StatePublished - 1984
Externally publishedYes

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Carotid Endarterectomy
Seizures
Headache
Fibrinolytic Agents
Carotid Stenosis
Cerebral Hemorrhage
Carotid Arteries
Paralysis
Heparin
Angiography
Pathologic Constriction
Stroke
Hypertension

ASJC Scopus subject areas

  • Surgery

Cite this

Youkey, J. R., Clagett, G. P., Jaffin, J. H., Parisi, J. E., & Rich, N. M. (1984). Focal motor seizures complicating carotid endarterectomy. Archives of Surgery, 119(9), 1080-1084.

Focal motor seizures complicating carotid endarterectomy. / Youkey, J. R.; Clagett, G. P.; Jaffin, J. H.; Parisi, Joseph E; Rich, N. M.

In: Archives of Surgery, Vol. 119, No. 9, 1984, p. 1080-1084.

Research output: Contribution to journalArticle

Youkey, JR, Clagett, GP, Jaffin, JH, Parisi, JE & Rich, NM 1984, 'Focal motor seizures complicating carotid endarterectomy', Archives of Surgery, vol. 119, no. 9, pp. 1080-1084.
Youkey JR, Clagett GP, Jaffin JH, Parisi JE, Rich NM. Focal motor seizures complicating carotid endarterectomy. Archives of Surgery. 1984;119(9):1080-1084.
Youkey, J. R. ; Clagett, G. P. ; Jaffin, J. H. ; Parisi, Joseph E ; Rich, N. M. / Focal motor seizures complicating carotid endarterectomy. In: Archives of Surgery. 1984 ; Vol. 119, No. 9. pp. 1080-1084.
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