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Postoperative neurological deficit after carotid endarterectomy: a mid-term outcome analysis

Background: To evaluate the neurological outcome of postoperative neurological deficit (PND) in patients undergoing carotid endarterectomy (CEA). Methods: A total of 3.7% (n = 48) out of 1,290 consecutive patients developed PND and were assessed neurologically after a mid-term follow-up. Results: Af...

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Hauptverfasser: Attigah, Nicolas (VerfasserIn) , Külkens, Sonja (VerfasserIn) , Ringleb, Peter A. (VerfasserIn) , Martin, Jochen (VerfasserIn) , Allenberg, Jens-Rainer (VerfasserIn) , Böckler, Dittmar (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: August 2010
In: Cerebrovascular diseases
Year: 2010, Jahrgang: 30, Heft: 3, Pages: 297-301
ISSN:1421-9786
DOI:10.1159/000319073
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1159/000319073
Verlag, lizenzpflichtig, Volltext: https://www.karger.com/Article/FullText/319073
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Verfasserangaben:Nicolas Attigah, Sonja Külkens, Peter Ringleb, Jochen Martin, Jens-Rainer Allenberg, Dittmar Böckler

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520 |a Background: To evaluate the neurological outcome of postoperative neurological deficit (PND) in patients undergoing carotid endarterectomy (CEA). Methods: A total of 3.7% (n = 48) out of 1,290 consecutive patients developed PND and were assessed neurologically after a mid-term follow-up. Results: After a 4-year follow-up, these patients were neurologically reevaluated. Clinical assessment revealed that 48% (n = 13) of the patients had a Rankin scale score of 0 or 1, 56% (n = 14) had a National Institutes of Health Stroke Scale score of 0 or 1, and 68.5% (n = 17) reached the maximum score on the Barthel index. Conclusions: The neurofunctional prognosis of PND is good. Four years after CEA, almost half of the patients had normal or near-normal neuroclinical findings. 
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