Skip to main content

Advertisement

Log in

EEG controlled occlusion of the internal carotid artery during angiography

  • Originals
  • Published:
Neuroradiology Aims and scope Submit manuscript

Summary

It became evident in two patients during cerebral angiography that ligation of an internal carotid artery would probably be necessary in the course of a subsequent neurosurgical operation. A balloon catheter was inserted and the internal carotid artery was occluded. A continous EEG recording was made with a Fourier transformed frequency analysis before and during the occlusion; the motor functions of the corresponding side of the body were observed simultaneously on the conscious patient. EEG alterations indicative of cerebral ischemia were not demonstrated in either patient during an occlusion period of 7 min. Unilateral neurosurgical ligation of the common carotid artery and the internal carotid artery was performed on one patient. As predicted no neurological deficit occured.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Beruskin A, Kricheff JJ (1979) Catheter and material selection for transarterial embolization. 1. Catheters. Radiology 132: 619–626

    Google Scholar 

  2. Blauw G, Braakmann R (1976) Carotid ligation for carotid aneurysms. Clin Neurol Neurosurg 79: 187–202

    Google Scholar 

  3. Büdingen HJ, Gielsbach J, von Reutern G-M (1978) Dopplersonographische Therapie- und Verlaufskontrolle einer Katheter-okkludierten Cavernosus-Fistel. Arch Psychiatr Nervenkr 226: 19–27

    Google Scholar 

  4. Chiappa KH, Burke SR, Young RR (1979) Results of electroencephalographic monitoring during 367 carotid endarterectomies. Stroke 10: 381–388

    Google Scholar 

  5. Christian W (1975) Klinische Elektroencephalographie. Thieme, Stuttgart, S 228–233

    Google Scholar 

  6. Byer JA, Dexter JD, Henzel JA (1979) Correlation of intraoperative electroencephalography with neurological deficit following carotid endarterectomy (Abstract). Stroke 8: 13

    Google Scholar 

  7. Dorndorf W, Gänshirt H (ed) (1972) Der Hirnkreislauf, Thieme, Stuttgart, S 512–650

    Google Scholar 

  8. Fleischer AS, Patton IM, Tindall GT (1975) Cerebral aneurysms of traumatic origin. Surg Neurol 4: 233–239

    Google Scholar 

  9. Griedke H, Krichel J, Sindermann F (1975) Dissecting aneurysm of the petrous portion of the internal carotid artery. Neuroradiology 10: 121–124

    Google Scholar 

  10. Hauke P, Zeumer H, Dörstelmann D (1976) Nichtaneurysmatische gefäßbedingte Druckläsionen von Hirnnerven. J Neurol 212: 215–224

    Google Scholar 

  11. Jones TH, Chiappa KH, Young RR, Ojemann RG, Crowell RM (1979) EEG monitoring for induced hypotension for surgery of intracranial aneurysms. Stroke 10: 292–294

    Google Scholar 

  12. Krauseneck E (1980) Die Bedeutung der A. tyreoidea superior in der doppler-sonographischen Differentialdiagnostik der cerebralen Ischämie. 2. Arbeitstgg. Doppelsonogr, Tübingen

  13. Leech PJ, Miller JD, Fitch W, Barker J (1974) Cerebral blood flow internal carotid artery pressure and the EEG as a guide to the safety of carotid ligation. J Neurol Neurosurg Psychiatry 37: 854–862

    Google Scholar 

  14. Miller JD, Jawad K, Jannet B (1977) Safety of carotid ligation and its role in the management of intracranial aneurysms. Neurol Neurosurg Psychiatry 40: 64–72

    Google Scholar 

  15. Matsumoto GH, Baker JD, Watson CW, Gluecklich B, Callow AD (1976) EEG surveillance as a means of extending operability in high risk carotid endarterectomy. Stroke 7: 554–559

    Google Scholar 

  16. Noterman J, Warzawaski U, Jeanmat L, Brihaye J (1972) Bilateral aneurysms of the internal carotid artery in the cavernous sinus. Case report. Neuroradiology 4: 63–65

    Google Scholar 

  17. von Reutern GM, Büdingen HJ, Hennerici M, Freund HF (1976) Diagnose und Differenzierung von Stenosen und Verschlüssen der A. carotis mit der Doppler-sonographie. Arch Psychiatr Nervenkr 222: 191–207

    Google Scholar 

  18. Schäffler L, Karbowski K (1980) Prognostischer Aussagewert der intraoperativen EEG-Untersuchung bei Karotisligatur. Nervenarzt 5: 431–437

    Google Scholar 

  19. Sciaretta G, Erculiani P (1977) EEG spectral analysis. Biomedica, Turin

    Google Scholar 

  20. Serbinenko FA (1974) Balloon catheterization and occlusion of maior cerebral vessels. J Neurosurg 41: 125–145

    Google Scholar 

  21. Walsh FB, Hoyt WF (1969) Clinical neuroophthalmology. Williams and Wilkins, Baltimore

    Google Scholar 

  22. Wise BL, Boldrey E, Aird RB (1974) The value of electroencephalography in studying the effect of ligation of the carotid arteries. Electroencephal Clin Neurophysiol 6: 261–268

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hacke, W., Zeumer, H. & Ringelstein, E.B. EEG controlled occlusion of the internal carotid artery during angiography. Neuroradiology 22, 19–22 (1981). https://doi.org/10.1007/BF00344605

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00344605

Key words

Navigation