Fatal ischemia stroke in a patient with an asymptomatic carotid artery occlusion after lumbar spine surgery - A case report

Liang Chieh Wang, Jiin Tarng Liou, Fu Chao Liu, Jee Ching Hsu, Ping Wing Lui*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

12 Scopus citations

Abstract

Recognizing carotid stenosis (CAS) in an asymptomatic patient preoperatively is difficult. We report a 63-year-old female who had diabetes mellitus and hypertension suffered from a fatal ischemic stroke secondary to a total occlusion of the left carotid artery after a lumbar spine surgery in the prone position. Intraoperative induced hypotension and neck rotation in this patient should be considered as contributory factors. According to previous studies extensively screening out CAS is not recommended. Using electroencephalography (EEG) or somatosensory evoked potential (SSEP) to monitor brain function and carefully positioning of the neck are recommended in these patients who are at risk of stroke while receiving induced hypotension during lumbar spine surgery in the prone position.

Original languageEnglish
Pages (from-to)179-182
Number of pages4
JournalMa zui xue za zhi = Anaesthesiologica Sinica
Volume42
Issue number3
StatePublished - 09 2004

Keywords

  • Carotid stenosis
  • Cerebral infarction
  • Spinal fusion

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