Korean J Anesthesiol.  2007 Mar;52(3):346-349. 10.4097/kjae.2007.52.3.346.

Cerebral Infaction during Spinal Anesthesia : A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea. mbs3317@lycos.co.kr

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.

Keyword

cerebral infarction; spinal anesthesia

MeSH Terms

Anesthesia, Spinal*
Blood Pressure
Cerebral Infarction
Diagnosis
Facial Paralysis
Femur
Humans
Male
Middle Cerebral Artery
Paresis
Periprosthetic Fractures
Thrombosis
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