Korean J Crit Care Med.  2013 Nov;28(4):323-326. 10.4266/kjccm.2013.28.4.323.

Postoperative Acute Cerebral Infarction Occurring after General Anesthesia

• Ok SH
• Yang SM
• Kim W
• Shin IW
• Lee HK
• Chung YK
• Sohn JT

• KMID: 1977511
• DOI: http://doi.org/10.4266/kjccm.2013.28.4.323

Abstract

The common predisposing risk factors for perioperative stroke include: previous stroke, atrial fibrillation, old age (> 75 years), carotid stenosis, and diabetes mellitus. An endoscopic sinus surgery was performed in a 49-year-old male with chronic paranasal sinusitis and nasal polyps. The vital signs, physical and laboratory examinations, and electrocardiography on admission were within the normal limit. Anesthesia was maintained with nitrous oxide in oxygen and 6% desflurane. The operation and anesthesia were uneventful with the exception of transient intraoperative hypotension. The patient recovered fully from the anesthesia (modified Aldrete score: 10) in the recovery room. However, he developed right arm weakness and dysarthria in the general ward 7 hours after the operation. We report a rare case of multifocal acute cerebral infarctions found on the postoperative magnetic resonance imaging in a noncardiac surgical patient.

Keyword

acute cerebral infarction; carotid stenosis; patent foramen ovale; perioperative stroke

MeSH Terms

Anesthesia
Anesthesia, General*
Arm
Atrial Fibrillation
Carotid Stenosis
Cerebral Infarction*
Diabetes Mellitus
Dysarthria
Electrocardiography
Foramen Ovale, Patent
Humans
Hypotension
Isoflurane
Magnetic Resonance Imaging
Male
Middle Aged
Nasal Polyps
Nitrous Oxide
Oxygen
Patients' Rooms
Recovery Room
Risk Factors
Sinusitis
Stroke
Vital Signs
Isoflurane
Nitrous Oxide
Oxygen