Korean J Anesthesiol.  1995 Jun;28(6):866-870. 10.4097/kjae.1995.28.6.866.

A Case of Cerebral Infarction due to Carotid Arterial Obstruction following General Anesthesia

• Kim HR
• Park PH
• Lim JG

• KMID: 2013197
• DOI: http://doi.org/10.4097/kjae.1995.28.6.866

Abstract

We report a case of acute cerebral infarction after general anesthesia. A 55-year-old man underwent total gastrectomy and splenectomy for advanced gastric cancer. Preoperatively, he has complained headache and dizziness for a year but neurologist, internist and anesthesiologist could not find any sign of cerebrovascular diseases. General anesthesia was induced with thiopental and maintained with 50% N2O and 1.5-2% enflurane in oxygen. After approximately 4h in the recovery room, he was not regained his consciousness. On physical examination, there was right hemiplegia. Immediate brain CT revealed acute cerebral infarction in left MCA and ACA territory. He was transported SICU. The following day he had a carotid Doppler ultrasonography that showed complete obstruction of both ICA. Neurologic examination showed negative eye reflex and pupil full dilation. He was discharged in a hopeless situation.

Keyword

Cerebral infarction; Carotid occlusive disease; Complication

MeSH Terms

Anesthesia, General*
Brain
Cerebral Infarction*
Consciousness
Dizziness
Enflurane
Gastrectomy
Headache
Hemiplegia
Humans
Middle Aged
Neurologic Examination
Oxygen
Physical Examination
Pupil
Recovery Room
Reflex
Splenectomy
Stomach Neoplasms
Thiopental
Ultrasonography, Doppler
Enflurane
Oxygen
Thiopental