Journal of Japanese Society of Dentistry for Medically Compromised Patient
Online ISSN : 1884-667X
Print ISSN : 0918-8150
ISSN-L : 0918-8150
Two cases of transient ischemic attack during dental treatment
Masahiro IrifuneChie EndoYoshitaka ShimizuMiho YoshiokaMichio Kawahara
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2002 Volume 11 Issue 2 Pages 97-101

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Abstract
We report here two cases of transient ischemic attack suffered during dental treatment. Case 1: A 66-year-old female with hyperlipemia underwent tooth extraction. After neurogenic shock caused by the pain of extraction, she complained of dysarthria, lip involuntary movement and dysethesia. We immediately consulted a neurosurgeon about her symptoms. The symptoms disappeared the next day. Case 2: A 65-year-old male with hypertension and diabetes was being prepared for a cast crown and inlays. He complained of vertigo, nausea and vomitting following the dental treatment. He was transferred to a neurology ward, where the symptoms disappeared the following day. Hyperlipemia, hypertension and diabetes are all risk factors for brain attack. When a patient, especially one with a risk factor, displays warning symptoms of a brain attack during dental treatment, the dentist should immediately transfer him or her to a neurology ward as soon as possible.
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© Japanese Society of Dentistry for Medicakky Comoromised Patient
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