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Tarr, R.W., Jungreis, C.A., Horton, J.A., Petheny, S., Sekhar, L.N., Sen, C., Janecka, I.P. and Yonas, H. (1991) Complications of Preoperative Balloon Test Occlusion of the Internal Carotid Arteries: Experience in 300 Cases. Skull Base Surgery, 1, 240-244.
http://dx.doi.org/10.1055/s-2008-1057104
has been cited by the following article:
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TITLE:
Cerebral Angiography Induced Prolonged Focal Seizure and Hemiparesis during Carotid Artery Balloon Test Occlusion
AUTHORS:
Yoriko Kato, Takatoshi Sorimach, Yasushi Ito, Yukihiko Fujii, Nobutaka Kawahara
KEYWORDS:
Balloon Test Occlusion, Cerebral Angiography, Hemiparesis, Seizure
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.4 No.3,
July
9,
2014
ABSTRACT:
The frequency of neurologic complications of cerebral angiography is 0.3%-2.3%, and the frequency of the persistent neurologic deficits that remain over 7-10 days is 0.4%-0.5%. On the other hand, all neurologic complications of balloon test occlusion (BTO) have been reported in 0%-8.3% and especially in 1.6%-1.7% of symptomatic neurologic complications. There are a few reports concerning a seizure related to cerebral angiography and BTO. We report a case of prolonged seizures and left hemiparesis during and after BTO of the right internal carotid artery. The patient showed repeated focal seizures and prolonged left hemiparesis lasting for approximately 2 months. Computed tomography and magnetic resonance imaging demonstrated no abnormal findings. Suspected mechanisms of seizure were a cerebral blood flow change induced by BTO and neurotoxicity of accumulated contrast medium. A combination of prolonged focal seizures and subsequent hemiparesis is a rare complication of BTO, which should be taken into consideration during BTO.