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| Primary Author: |
Evers, S.
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| Journal Title: |
Neurology
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| Date Published: |
Dec-98 |
| Language: |
English
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| Category: |
Nervous Disorders
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| Key Words: |
ischemic trumpet brass instrumental medical musician |
| Full Citation: |
Evers, Stefan, Henning Henningsen, and E. Bernd Ringelstein. Transient Ischemic Attacks Caused by Trumpet Playing. Neurology 51, no. 6 (December 1998): 1709-10. |
| Full Abstract: |
Brass playing may cause transient ischemic attacks (cerebral embolization) in young players with a right-left cardiac shunt. The rate of microembolic signals in brain-supplying arteries increase during trumpet playing and Valsalva maneuver, and can be detected with a transcranial Doppler. The increased intrathorasic pressure associated with trumpet playing likely causes an increased rate of right-left cardiac embolization in young patients. This type of embolization has strong evidence to prove the subsequent effect of cerebral embolization. |
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