Cerebral Infarction after Spine Surgery: Report of Two Cases ()
Katsunori Fukutake,
Hiroshi Takahashi,
Yuichiro Yokoyma,
Yasuaki Iida,
Ryo Takamatsu,
Kazumasa Nakamura,
Akihito Wada
Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan.
Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan..
DOI: 10.4236/ojo.2013.34037
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Abstract
There has been an increase in spinal surgery for the elderly, with a corresponding potential increase in perioperative complications. In our department, 1833 patients underwent spinal surgery under general anesthesia from April 2001 to October 2012, and 2 of 260 patients aged ≥75 years old had postoperative cerebral infarction. An analysis of the pathogenic mechanism and potential risk factors showed that a history of cerebral infarction was a significant risk factor. Blood pressure rapidly increased on arousal from anesthesia, and particularly on extubation. The change in blood pressure was examined as a potential risk factor for cerebral infarction, but no significant relationship was observed. This result requires further examination in more patients with cerebral infarction after spinal surgery.
Share and Cite:
K. Fukutake, H. Takahashi, Y. Yokoyma, Y. Iida, R. Takamatsu, K. Nakamura and A. Wada, "Cerebral Infarction after Spine Surgery: Report of Two Cases,"
Open Journal of Orthopedics, Vol. 3 No. 4, 2013, pp. 204-207. doi:
10.4236/ojo.2013.34037.
Conflicts of Interest
The authors declare no conflicts of interest.
References
|
[1]
|
K. Hayashi, K. Yone, S. Matsunaga, T. Lzumi, H. Shimada and S. Komiya, “Neurological Complications in Cervical Laminoplasty-Open Door vs. French Door Laminoplasty,” Orthopedics & Traumatology, Vol. 53, No. 1, 2004, pp. 88-90. doi:10.5035/nishiseisai.53.88
|
|
[2]
|
T. Chikawa, T. Nakagaawa, S. Endo, M. Nakamura, S. Nakano and T. Shimakawa, “Spinal Surgery in Elderly Patient More than Eighty Years Old-Complications and Surgical Results,” Journal of Spine Research, Vol. 3, 2012, pp. 812-818.
|
|
[3]
|
J. L. Ng, M. T. Chan and A. W. Gelb, “Perioperative Stroke in Noncardiac, Nonneurosurgical Surgery,” Anesthesiology, Vol. 115, No. 4, 2011, pp. 879-890.
doi:10.1097/ALN.0b013e31822e9499
|
|
[4]
|
H. Ohmiya, K. Okajima, Y. Abe, M. Tanoue, N. Mura-kami and S. Mori, “Anticoagulant during Perioperaive Stage of Spiral Surgery,” Orthopedics & Traumatology, Vol. 56, No. 2, 2007, pp. 214-216.
doi:10.5035/nishiseisai.56.214
|
|
[5]
|
M. Selim, “Perioperative Stroke,” The New England Journal of Medicine, Vol. 356, 2007, pp. 706-713.
doi:10.1056/NEJMra062668
|