Cerebral Infarction after Spine Surgery: Report of Two Cases

• 作者: Akihito Wada Hiroshi Takahashi Katsunori Fukutake Kazumasa Nakamura Ryo Takamatsu Yasuaki Iida Yuichiro Yokoyma
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: CEREBRAL INFARCTION SPINE SURGERY COMPLICATION
• 年，卷（期）: 2013,（4）
• 页码范围: 204-207
• 页数: 4页
• 分类号: R73

摘要

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.