Cerebral Infaction during Spinal Anesthesia : A case report.
10.4097/kjae.2007.52.3.346
- Author:
Byoung Sang MIN
1
;
Tae Won JUNG
;
Seok Hee HAN
;
Young Duck SHIN
;
Sang Yong PARK
;
Ji Won JU
Author Information
1. Department of Anesthesiology and Pain Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea. mbs3317@lycos.co.kr
- Publication Type:Original Article
- Keywords:
cerebral infarction;
spinal anesthesia
- MeSH:
Anesthesia, Spinal*;
Blood Pressure;
Cerebral Infarction;
Diagnosis;
Facial Paralysis;
Femur;
Humans;
Male;
Middle Cerebral Artery;
Paresis;
Periprosthetic Fractures;
Thrombosis
- From:Korean Journal of Anesthesiology
2007;52(3):346-349
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a case of acute cerebral infarction during spinal anesthesia. The patient was a seventy years old male with diagnosis of right femur periprosthetic fracture scheduled for a open reduction & internal fixation under spinal anesthesia. Intraoperatively, he developed a mental confusion and his blood pressure decreased from 115/70 mmHg to 80/45 mmHg. After operation, he appeared to have left hemiparesis and left facial palsy. Angiogram revealed thrombus in superior division of the right middle cerebral artery. He expired 3 months after the surgery despite supportive measures.