Klarinet Archive - Posting 000629.txt from 2000/09

From: Schaffner Thomas <schaffne@-----.ch>
Subj: Re: [kl] risk of stroke
Date: Thu, 21 Sep 2000 08:22:31 -0400

It appearss so! I found this reference (below) which contains more
references. Yet this seems to be a rare event and at least I try not to play
the clarinet with a red face(the reported patients were mostly brass
players).
ThomasSchaffner MD
Dept. of Pathology
University of Bern, Switzerland
schaffne@-----.ch
http://www.pathology.unibe.ch/

Neurology 2000 Sep 26;55(6):865-867
Cerebrovascular ischemic events in wind instrument players.
Evers S, Altenmuller E, Ringelstein EB
Department of Neurology (Drs. Evers and Ringelstein), University of Munster;
and the Department of Music Physiology and Music Medicine (Dr. Altenmuller),
Hannover College of Music and Theater, Germany.
[Record supplied by publisher]
ARTICLE ABSTRACT: Two cases of ischemic stroke due to carotid artery
dissection occurring during wind instrument playing, probably caused by
increased intrathoracic and subsequent intrapharyngeal pressure, are
presented. A review of the literature revealed three similar patients with
other types of cerebrovascular events, such as paradoxical cerebral embolism
due to a patent foramen ovale and spinal epidural hematoma during trumpet
playing.

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