Carotid artery dissection after the intracarotid amobarbital test.
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.
Loddenkemper
Tobias
T
Department of Neurology, The Cleveland Clinic Foundation, OH 44195, USA.
Morris
Harold H
HH
Perl
John
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000654:Amobarbital / Q000009:adverse effects*; D020212:Carotid Artery Injuries / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D004827:Epilepsy / Q000601:surgery; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects*; D007269:Injections, Intra-Arterial / Q000009:adverse effects; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D012189:Retrospective Studies; D012307:Risk Factors
D006993:Hypnotics and Sedatives; D000654:Amobarbital