| Cerebral Infarction following Total Hip Replacement Arthroplasty in Geriatric Patient : A case report. |
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Yong Woo Choi, Mee Young Chung, Chang Jae Kim, Byung Ho Lee, Hyo Jung Lee, Jun Seuk Chea |
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Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. chjs1202@catholic.ac.kr |
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| Abstract |
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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. |
| Key Words:
cerebral infarction; geriatric patient; total hip replacement arthroplasty |
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