Open AccessMotor Speech Deficit Following Carotid Endarterectomy
Author(s) -
William E. Evans,
David S. Mendelowitz,
Christos D. Liapis,
Vickie Wolfe,
Cherie L. Florence
Publication year - 1982
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198210000-00009
Subject(s) - medicine , carotid endarterectomy , cranial nerves , stroke (engine) , surgery , complication , endarterectomy , incidence (geometry) , anesthesia , carotid arteries , mechanical engineering , engineering , physics , optics
Stroke as a complication of carotid endarterectomy has been extensively reviewed. Considerably less attention has been directed to local injuries of the cranial nerves and their branches. Verta, Hertzer, Imparato, DeWeese, and Matsumoto have reported experience with these injuries. DeWeese found a 9.7% rate of cranial nerve injury, while in Hertzer's series, 15% of patients had nerve dysfunction in the early postendarterectomy period. In 1980, Liapis in a preliminary report found that when postoperative examination was supplemented by detailed evaluation by speech pathologists, the incidence of early abnormalities reached 27%. The purpose of this study was to expand upon Liapis' early observation and to clarify the contribution of the speech pathologists in identifying cranial nerve dysfunctions, specifically those resulting in motor speech abnormalities, following carotid endarterectomy.