Cerebral Infaction during Spinal Anesthesia : A case report.

Min,  Byoung Sang; Jung,  Tae Won; Han,  Seok Hee; Shin,  Young Duck; Park,  Sang Yong; Ju,  Ji Won

doi:2007.52.3.346

Original Article

Korean Journal of Anesthesiology 2007;52(3):346-349.
DOI: https://doi.org/10.4097/kjae.2007.52.3.346

Cerebral Infaction during Spinal Anesthesia : A case report.

Byoung Sang Min, Tae Won Jung, Seok Hee Han, Young Duck Shin, Sang Yong Park, Ji Won Ju

Department 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.

Key Words: cerebral infarction; spinal anesthesia