A Case of Cerebral Infarction due to Carotid Arterial Obstruction following General Anesthesia.
10.4097/kjae.1995.28.6.866
- Author:
Hye Ryoung KIM
1
;
Pyung Hwan PARK
;
Jung Gil LIM
Author Information
1. Department of Anesthesiology, Ulsan University College of Medicine, Ulsan, Korea.
- Publication Type:Case Report
- Keywords:
Cerebral infarction;
Carotid occlusive disease;
Complication
- MeSH:
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
- From:Korean Journal of Anesthesiology
1995;28(6):866-870
- CountryRepublic of Korea
- Language:Korean
-
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.
