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Stroke. 1988;19:261-262

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Stroke, Vol 19, 261-262, Copyright © 1988 by American Heart Association

ARTICLES

Bilateral hypoglossal nerve injury after bilateral carotid endarterectomy

JA Gutrecht and HR Jones Jr
Department of Neurology, Lahey Clinic Medical Center, Burlington, MA 01805.

A case of severe bilateral injury to the hypoglossal nerves after two- stage carotid endarterectomy is described. Injury to the hypoglossal nerve occurs in up to 20% of patients undergoing carotid endarterectomy and may result in mild or unnoticed deficits. These injuries must be carefully searched for in patients who will undergo a similar procedure on the opposite side since a bilateral deficit of the hypoglossal nerve is poorly tolerated, causing potentially serious impairment of speech and risk of aspiration.




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