Hemisphere cerebral infarction after total laparoscopic hysterectomy in the Trendelenburg position: A case report.
10.17085/apm.2016.11.4.362
- Author:
Kwang Ho LEE
1
;
Yeong Gwan JEON
;
Dong Woo CHO
;
Myeong Hoon KIM
;
Hyun Kyo LIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. hyunkyolim@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Cerebral infarction;
Laparoscopic hysterectomy;
Stroke;
Trendelenburg position
- MeSH:
Angiography;
Brain;
Brain Edema;
Carotid Artery, Internal;
Cerebral Infarction*;
Decompressive Craniectomy;
Female;
Gynecologic Surgical Procedures;
Head-Down Tilt*;
Humans;
Hysterectomy*;
Mortality;
Stroke
- From:Anesthesia and Pain Medicine
2016;11(4):362-365
- CountryRepublic of Korea
- Language:English
-
Abstract:
Perioperative stroke can lead to mortality or serious disability and usually occurs in patients undergoing cardiac, vascular, or neurologic surgery; it is rare in gynecological surgery. We report the case of a patient who suffered life-threatening cerebral infarction after elective laparoscopic hysterectomy. During the surgery, the patient was placed in the Trendelenburg position. On postoperative day one, the patient was diagnosed with right hemisphere cerebral infarction; brain computed tomographic angiography showed proximal right internal carotid artery occlusion. Decompressive craniectomy was performed to resolve brain swelling, but the patient died 10 days later.
