Perioperative Stroke In A Patient Undergoing Non Cardiac, Non-Neurosurgical Procedure: A Case-Based Review Article.

[摘要] Perioperative stroke is a focal or global neurological deficit lasting more than 24 hours, whichoccurs during surgery or within 30 days following surgery. Early diagnosis of classical strokepresentations can be missed in the perioperative period because anaesthetic drugs can mask itssymptoms. Factors like postoperative endothelial dysfunction and surgery-induced hypercoagulable statecan contribute to perioperative stroke. This case report describes a case of perioperative stroke in apatient with an unremarkable intraoperative course following Frey’s procedure, this being a non- neurological pancreatic procedure. Even though perioperative stroke after non-cardiac, non-neurologicalsurgery is infrequent, it is associated with considerable morbidity and mortality, and its prevalence couldbe rising. Previous studies have identified a number of patient and procedural risk factors, such as olderage and a history of stroke. In our case, we managed with supportive and care and a conservativeapproach and a successful outcome was the result. Perioperative risk-factor modification, likeoptimisation of systemic illness like diabetes, hypertension and quitting of smoking could well improveresults in young patients. Early diagnosis involving physical examination, the NIHSS, and CT imaging ofthe brain combined with a multidisciplinary team approach towards treatment generally improveneurological outcomes in this patient population.Vigilant monitoring, early diagnosis and prompttreatment plays a vital role in the management and improving patient outcomes.

[学科分类] 工程和技术（综合）

[关键词] anaesthesia;stroke;perioperative period;non-neurosurgical procedure