Skip to main content
SpringerLink
Log in
Book cover

Vascular Surgery pp 245–252Cite as

Carotid Endarterectomy and Cranial Nerve Injuries

  • Chapter

  • 234 Accesses

Abstract

A 75-year-old-male was admitted to our department because of a high-grade left internal carotid artery (ICA) stenosis. The patient had a history of a reversible ischaemic neurological defect (RIND) with right upper- and lower-extremity paralysis and dysarthria a month before admission. Colour duplex ultrasonography revealed a carotid bifurcation stenosis with a 90 per cent reduction in the diameter of the left ICA. The right ICA was also stenosed with an 80 per cent diameter reduction. Medical history revealed no symptoms that could be attributed to the right ICA stenosis.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Aldoori MJ, Baird RN. Local neurological complications during carotid endarterectomy. J Cardiovasc Surg 1988; 29: 432–6.

    CAS  Google Scholar 

  2. Ballotta E, Da Giau G, Renon L, Name S, Saladini M, Abbruzzese E, Meneghetti G. Cranial and cervical nerve injuries after carotid endarterectomy: a prospective study. Surgery 1999; 125: 85–91.

    Article  PubMed  CAS  Google Scholar 

  3. Dehn TC, Taylor GW. Cranial and cervical nerve damage associated with carotid endarterectomy. Br J Surg 1983; 70: 365–8.

    Article  PubMed  CAS  Google Scholar 

  4. Evans WE, Mendelowitz DS, Liapis CD, Wolfe V, Florance CL. Motor speech deficit following carotid endarterectomy. Ann Surg 1982; 196: 461–4.

    Article  PubMed  CAS  Google Scholar 

  5. Ferguson GG, Eliasziw M, Barr HW, Clagett GP, Barnes RW, Wallace MC, et al. The North American Symptomatic Carotid artery Endarterectomy Trial: surgical results in 1415 patients. Stroke 1999; 30: 1751–8.

    Article  PubMed  CAS  Google Scholar 

  6. Forsell C, Kitzing P, Bergqvist D. Cranial nerve injuries after carotid artery surgery. A prospective surgery study of 663 operations. Eur J Vasc Endovasc Surg 1995; 10: 445–9.

    Article  Google Scholar 

  7. Hertzer NR, Feldman BJ, Beven EG, Tucker HM. A prospective study of the incidence of injury to the cranial nerves during carotid endarterectomy. Surg Gynecol Obstet 1980; 151: 781–4.

    PubMed  CAS  Google Scholar 

  8. Knight FW, Yeager RM, Morris DM. Cranial nerve injuries during carotid endarterectomy. Am J Surg 1987; 154: 529–32.

    Article  PubMed  CAS  Google Scholar 

  9. Liapis CD, Satiani B, Florance CL, Evans WE. Motor speech malfunction following carotid endarterectomy. Surgery 1981; 81: 56–9.

    Google Scholar 

  10. Maniglia AJ, Han DP. Cranial nerve injuries following carotid endarterectomy: an analysis of 336 procedures. Head Neck 1991; 13: 121–4.

    Article  PubMed  CAS  Google Scholar 

  11. Maroulis J, Karkanevatos A, Papakostas K, Gilling-Smith GL, McCormick MS, Harris PL. Cranial nerve dysfunction following carotid endarterectomy. Int Angiol 2000; 19: 237–41.

    PubMed  CAS  Google Scholar 

  12. Massey EW, Heyman A, Utley C, Haynes C, Fuchs J. Cranial nerve paralysis following carotid endarterectomy. Stroke 1984; 15: 157–9.

    Article  PubMed  CAS  Google Scholar 

  13. Rogers W, Root HD. Cranial nerve injuries after carotid artery endarterectomy. South Med J 1988; 81: 1006–9.

    Article  PubMed  CAS  Google Scholar 

  14. Schauber MD, Fontenelle LJ, Solomon JW, Hanson TL. Cranial/cervical nerve dysfunction after carotid endarterectomy. J Vasc Surg 1997; 25: 481–7.

    Article  PubMed  CAS  Google Scholar 

  15. Schmidt D, Zuschneid W, Kaiser M. Cranial nerve injury during carotid arterial reconstruction. J Neurol 1983; 230: 131–5.

    Article  PubMed  CAS  Google Scholar 

  16. Theodotou B, Mahaley MS Jr. Injury of the peripheral cranial nerves during carotid endarterectomy. Stroke 1985; 16: 894–5.

    Article  PubMed  CAS  Google Scholar 

  17. Weiss K, Kramar R, Firt P. Cranial and cervical nerve injuries: local complications of carotid artery surgery. J Cardiovasc Surg 1987; 28: 171–5.

    CAS  Google Scholar 

  18. Zannetti S, Parente B, De Rango P, Giordano G, Serafini G, Rossette M, Cao P. Role of surgical techniques and operative findings in cranial and cervical nerve injuries during carotid endarterectomy. Eur J Vasc Endovasc Surg 1998; 15: 528–31.

    Article  PubMed  CAS  Google Scholar 

  19. Rosenbloom M, Friedman SG, Lamparello PJ, Riles TS, Imparato AM. Glossopharyngeal nerve injury complicating carotid endarterectomy. J Vasc Surg 1987; 5: 469–71.

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. C. D. Liapis
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. D. Kakisis
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Imperial College of Science, Technology and Medicine, Charing Cross Hospital and Ealing Hospital, London, UK

    George Geroulakos MD, FRCS, DIC, PhD (Consultant Vascular Surgeon and Senior Lecturer) (Consultant Vascular Surgeon and Senior Lecturer)

  2. University Hospital Rotterdam, Rotterdam, The Netherlands

    Hero van Urk MD, PhD, FRCS (Professor of Vascular Surgery) (Professor of Vascular Surgery)

  3. Division of Vascular Surgery, UMDNJ-NJMS, Newark, New Jersey, USA

    Robert W. Hobson II MD (Professor of Surgery and Physiology, Director) (Professor of Surgery and Physiology, Director)

  4. Section of Vascular Surgery, Pennsylvania Vascular Associates, Pennsylvania Hospital, Philadelphia, Pennsylvania, USA

    Keith D. Calligaro MD (Chief) (Chief)

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag London

About this chapter

Cite this chapter

Liapis, C.D., Kakisis, J.D. (2003). Carotid Endarterectomy and Cranial Nerve Injuries. In: Geroulakos, G., van Urk, H., Hobson, R.W., Calligaro, K.D. (eds) Vascular Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-3870-9_32

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3870-9_32

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3872-3

  • Online ISBN: 978-1-4471-3870-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation