Abstract:
:Perioperative cerebral infarction occurs in less than 1% of general surgical procedures; the mechanism is usually unknown. The clinical features of 12 consecutive perioperative strokes were retrospectively reviewed. Although intraoperative hypotension was frequent, onset of deficit occurred postoperatively in 83% and intraoperatively in 17%. Cardiogenic embolism was a common cause of stroke (42%), with atrial fibrillation present in 4 patients (33%) at the time of stroke. The potential roles of hypercoagulability, hypotension and carotid occlusive disease are discussed. Future reports concerning perioperative stroke should consider the multiple mechanisms and temporal relationship of stroke to the operative procedure.
journal_name
Strokejournal_title
Strokeauthors
Hart R,Hindman Bdoi
10.1161/01.str.13.6.766subject
Has Abstractpub_date
1982-11-01 00:00:00pages
766-73issue
6eissn
0039-2499issn
1524-4628journal_volume
13pub_type
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