Seizures following subclavian-carotid bypass.

Seizures are uncommon after carotid endarterectomy. Patients at greatest risk for having this complication are those with high-grade carotid stenosis and possibly those with recent stroke or severe hypertension. The most favored theory regarding the pathophysiology is hyperperfusion caused by failure of cerebral autoregulation. This article describes our experience with the management of a patient suffering focal motor seizures after subclavian-carotid bypass performed to treat common carotid occlusion.