title: WITHDRAWN Coronary artery spasm associated with blood brain barrier disruption induced by carotid sinus stimulation.
abstract: Ahead of Print article withdrawn by publisher Blood brain barrier disruption (BBBD) is a novel technique for treating central nervous system lymphoma. This technique depends on the disruption of the tight junctions between endothelial cells (which represent the blood brain barrier) by intra-arterial injection of mannitol. The most common complications of blood brain barrier disruption are seizures and brain edema. Here, the authors present a rare complication of coronary artery spasm manifested by elevation of the ST segment and bradycardia due to carotid sinus stimulation in a 33 year-old-male during blood brain barrier disruption. To the authors' knowledge, this is the first report of a coronary artery spasm complicating blood brain barrier disruption.
authors.affiliation: Anesthesia Institute, Cleveland Clinic, Cleveland, Ohio, USA    alaaawny@hotmail.com.
authors.forename: S S
authors.initials: SS
authors.lastname: Zaky
authors.forename: G H
authors.initials: GH
authors.lastname: Barnett
authors.forename: A A
authors.initials: AA
authors.lastname: Abd-Elsayed
authors.forename: E
authors.initials: E
authors.lastname: Farag