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[Peripheral neurologic complications after carotid surgery]
P Kovacević1, M Fabri, N Radovanović
1Institut za kardiovaskularne bolesti, Sremska Kamenica Univerzitetska klinika za kardiovaskularnu hirurgiju, Medicinski fakultet.
Medicinski Pregled
|April 9, 1998
Summary
Peripheral neurological complications after carotid surgery occur in 11.3% of cases, with most being temporary. Auricularis magnus and superior laryngeal nerves are most frequently affected, emphasizing the need for precise surgical techniques.
Area of Science:
- Neurology
- Vascular Surgery
Context:
- Carotid surgery has seen reduced central neurological complications.
- Peripheral neurological complications are gaining attention post-carotid surgery.
Purpose:
- To determine the incidence of peripheral neurological complications following carotid surgery.
- To identify the most frequently affected nerves.
Summary:
- A study of 97 patients undergoing carotid surgery found a 11.3% incidence of peripheral nerve lesions.
- The most common complications involved the great auricular nerve (8.3%) and the superior laryngeal nerve (2.8%).
- Most of these neurological deficits were transient.
Impact:
- Highlights the significant incidence of peripheral nerve injuries after carotid procedures.
- Suggests that meticulous surgical technique is crucial for minimizing these complications.
- Provides benchmark data for comparing against existing literature on carotid surgery outcomes.