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

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

Chang Gung University

Research output: Contribution to journal › Journal 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 language	English
Pages (from-to)	179-182
Number of pages	4
Journal	Ma zui xue za zhi = Anaesthesiologica Sinica
Volume	42
Issue number	3
State	Published - 09 2004

Keywords

Carotid stenosis
Cerebral infarction
Spinal fusion

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Cite this

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

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.",

keywords = "Carotid stenosis, Cerebral infarction, Spinal fusion",

author = "Wang, {Liang Chieh} and Liou, {Jiin Tarng} and Liu, {Fu Chao} and Hsu, {Jee Ching} and Lui, {Ping Wing}",

year = "2004",

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T1 - Fatal ischemia stroke in a patient with an asymptomatic carotid artery occlusion after lumbar spine surgery - A case report

AU - Wang, Liang Chieh

AU - Liou, Jiin Tarng

AU - Liu, Fu Chao

AU - Hsu, Jee Ching

AU - Lui, Ping Wing

PY - 2004/9

Y1 - 2004/9

N2 - 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.

AB - 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.

KW - Carotid stenosis

KW - Cerebral infarction

KW - Spinal fusion

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M3 - 文章

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AN - SCOPUS:5744253296

SN - 0254-1319

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EP - 182

JO - Ma zui xue za zhi = Anaesthesiologica Sinica

JF - Ma zui xue za zhi = Anaesthesiologica Sinica

IS - 3

ER -

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

Abstract

Keywords

UN SDGs

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