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M. Flint Beal, MD; Tae S. Park, MD; C. Miller Fisher, MD

Arch Neurol. 1981;38(5):310-312.

Abstract
• Complications of carotid sinus pressure, which are rare, include cardiac arrhythmias and cerebrovascular accidents. A 79-year-old man experienced a flaccid right hemiplegia one minute after left carotid sinus pressure. At necropsy, an atheromatous embolus occluded the left middle cerebral artery, resulting in hemorrhagic infarction in its vascular territory. Atheromatous embolism following carotid sinus pressure has not been previously documented. Most sudden stroke deficits following carotid sinus pressure are probably caused by this mechanism.

Author Affiliations
From the Departments of Neurology (Drs Beal and Fisher) and Neuropathology (Drs Beal, Park, and Fisher), Massachusetts General Hospital and Harvard Medical School, Boston.

Footnotes
Accepted for publication July 8, 1980.

Reprint requests to Massachusetts General Hospital, Neurology Service, Boston, MA 02114 (Dr Fisher).

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