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Transient Ischemic Attacks Caused by Trumpet Playing


Copyright 2024, Mark Alan Wade

Primary Author: Evers, S.
Journal Title: Neurology
Date Published: Dec-98
Language: English
Category: Nervous Disorders
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.