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KMID : 0356919950280060866
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Korean Journal of Anesthesiology
1995 Volume.28 No. 6 p.866 ~ p.870
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A Case of Cerebral Infarction due to Carotid Arterial Obstruction following General Anesthesia
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Abstract
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We report a case of acute cerebral infarction after general anesthesia. A 550year-old man underwent total gastrectomy and splenectomy for advanced gastric cancer. Preoperatively, he has complained headache and dizziness for a year but
neurologist,
internist and anesthesiologist could not find any sign of cerebrovascular diseases. General anesthesia was induced with thiopental and maintained with 50% N2O and 1.5-2% enflurane in oxygen. After approximately 4h in the recovery room, he was not
regained his consciousness. On physical examination, there was right hemiplegia. Immediate brain CT revealed acute cerebral infarction in left MCA and ACA territory. He was transported SICU. The following day he had a carotid Doppler
ultrasonography
that showed complete obstruction of both ICA. Neurologic examination showed negative eye reflex and pupil full dilation. He was discharged in a hopeless situation.
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