Korean J Anesthesiol.  2007 Jan;52(1):119-122. 10.4097/kjae.2007.52.1.119.

Cerebral Infarction following Total Hip Replacement Arthroplasty in Geriatric Patient : A case report

• Choi YW
• Chung MY
• Kim CJ
• Lee BH
• Lee HJ
• Chea JS

• KMID: 2236656
• DOI: http://doi.org/10.4097/kjae.2007.52.1.119

Abstract

Perioperative cerebral infarction is uncommon and its mechanism is often uncertain. This is a report of an unusual case of acute cerebral infarction following general anesthesia. The patient was a 83-year-old female admitted for total hip replacement arthroplasty (THRA). There were no previous cerebro- and cardio-vascular symptoms and history. During introduced general anesthesia with sevoflurane, there was a persistent low systolic BP of 80-100 mmHg (preoperative BP was 140/85 mmHg). On emerging from anesthesia, confusion and dense right hemiparesis were observed. Emergency CT brain scan showed early cerebral infarction in the middle cerebral artery (MCA) territory. Even though prompt supportive neurosurgical intensive care was initiated, the patient died at postoperative 4 days.

Keyword

cerebral infarction; geriatric patient; total hip replacement arthroplasty

MeSH Terms

Aged, 80 and over
Anesthesia
Anesthesia, General
Arthroplasty*
Arthroplasty, Replacement, Hip*
Brain
Cerebral Infarction*
Emergencies
Female
Humans
Critical Care
Middle Cerebral Artery
Paresis