Injury of the peripheral cranial nerves during carotid endarterectomy

The incidence of local nerve injury among 192 consecutive carotid endarterectomies in 162 patients between 1977-1983 was determined from review of the medical records. Two facial nerve, 5 hypoglossal nerve, and 2 vagus nerve injuries were discovered for a total incidence of 4.7%. Only the 2 facial n...

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Bibliographic Details
Published in:Stroke (1970) 1985-09, Vol.16 (5), p.894-895
Main Authors: THOEDOTOU, B, MAHALEY, M. S. JR
Format: Article
Language:English
Subjects:
Biological and medical sciences
Carotid Arteries - surgery
Cerebral Palsy - etiology
Cranial Nerve Injuries
Endarterectomy
Facial Nerve Injuries
Humans
Hypoglossal Nerve Injuries
Medical sciences
Neurology
Vagus Nerve Injuries
Vascular diseases and vascular malformations of the nervous system
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Summary:The incidence of local nerve injury among 192 consecutive carotid endarterectomies in 162 patients between 1977-1983 was determined from review of the medical records. Two facial nerve, 5 hypoglossal nerve, and 2 vagus nerve injuries were discovered for a total incidence of 4.7%. Only the 2 facial nerve injuries failed to improve over 2 years. Followup ranged from 1 to 60 months in this group of patients. Careful attention to details of tissue dissection at surgery should lower the incidence of nerve injury during carotid endarterectomy.
ISSN:0039-2499
1524-4628
DOI:10.1161/01.str.16.5.894