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Table II

Reported cases of iatrogenic cervical artery dissections following dental procedures.

Authors Sex Age Artery Cerebral infarction Dental procedure Dissection risk factors
Prabhakar et al. (2001) [15] M 31 Left VA Left cerebellum infarct Tooth avulsion (45 min) NS
Cerrato et al. (2004) [16] F 47 Left ICA Left parieto-occipital infarct Lower wisdom teeth avulsion None
Shobha et al. (2010) [17] M 63 Left VA Left cerebellum infarct (PICA) Tooth filling Neck rotation and hyperextension (1h30)
De Santis et al. (2012) [18] F 33 Left ICA No Inferior alveolar nerve block None
Aghaebrahim et al. (2013) [19] F 40 Bilateral ICA Left parietal infarct Avulsion of 27 teeth under general anesthesia 2 h of neck hyperextension
Molad et al. (2016) [20] F 49 Bilateral ICA and Right VA Bilateral parieto-occipital infarct Molar removal and tooth filling under general anesthesia (3 h) None
M 61 Right VA Yes Tooth filling (30 min) High blood pressure
M 52 Left ICA Yes Tooth fillings (1h30) None
M 57 Left ICA Yes Gingival graft (30 min) None
Narula et al. (2018) [21] F 58 Right ICA No Local periapical anesthesia of tooth 14 High blood pressure

ICA = Internal carotid artery; NS = Not specified; VA = Vertebral artery.

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