Bilateral thalamic infarct after general anaesthesia for laparotomy: an unusual case of perioperative cryptogenic stroke

Karaaslan, Pelin; Pirat, Araş; Karakayalı, H.; Can, Ufuk; Arslan, G.

doi:10.1111/j.1399-6576.2007.01526.x

Cited by 4 publications

(4 citation statements)

References 2 publications

(2 reference statements)

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“…According to recent research, these might be predictive for incident AF in cryptogenic stroke [4]. Karaaslan et al [8] demonstrated that an etiology can challengingly remain elusive.…”

Section: Discussionmentioning

confidence: 99%

“…Karaaslan et al [8] described a case of cryptogenic stroke in a 19-year-old woman undergoing elective laparotomy for resection of a pancreatic pseudopapillary tumor. There had been significant intraoperative blood loss requiring an ICU admission postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…Subsequent investigations including TTEs, TEEs, and genetic, collagen, vascular, and coagulation profile studies failed to identify a potential source of embolic stroke, for example a PFO did not exist, and failed to demonstrate any physiological abnormalities that might have generated a hypercoagulable or coagulable state. She made a full recovery except for minimal memory deficits [7, 8]. …”

Section: Discussionmentioning

confidence: 99%

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Decompressive craniectomy for malignant middle cerebral artery infarction in a 16-year old boy: a case report

Lammy¹,

Fivey²,

Sangra³

2016

J Med Case Reports

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BackgroundCryptogenic stroke frequently occurs in younger patients and has a high risk of recurrence. Consequently, secondary prevention is often suboptimal as there is no known risk factor to target. This case demonstrates an unexpected finding of middle cerebral artery infarction and extensive malignant transformation in a 16-year-old boy more than a day post-admission. The lack of a proven culprit lesion makes this case even more intriguing and subsequently raises questions of cryptogenic mechanisms in the context of unrelated trauma.Case presentationA 16-year-old white boy had been stabbed in his chest but had a Glasgow Coma Scale score of 15. Over a day later he developed sudden signs and symptoms consistent with a neurological event of unknown etiology. Computed tomography demonstrated significant cerebral edema but was equivocal in its list of differentials. A computed tomography scan of his chest demonstrated no cardiac wall or vascular injury and he was transferred to our neurosurgical unit for intracranial pressure monitoring. A computed tomography angiogram revealed an unexpected finding of malignant middle cerebral artery infarction. Failure to medically manage his intracranial pressure resulted in a decompressive craniectomy less than 12-hours postictus. Despite extensive diagnostic investigations no culprit lesion was identified and no patent foramen ovale found. Since discharge he has returned to full functional status. He was the youngest patient (mean age of 43 years) out of a 10-year institutional retrospective on decompressive craniectomies for malignant middle cerebral artery infarction (n = 40) and had the singularly best Glasgow Outcome Scale score of 5.ConclusionsThis case highlights the preponderance of cryptogenic stroke in younger patients and its etiological elusiveness. It further demonstrates that age is predictive in terms of survival and functional outcome in the context of malignant middle cerebral artery infarction.

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“…According to recent research, these might be predictive for incident AF in cryptogenic stroke [4]. Karaaslan et al [8] demonstrated that an etiology can challengingly remain elusive.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Decompressive craniectomy for malignant middle cerebral artery infarction in a 16-year old boy: a case report

Lammy¹,

Fivey²,

Sangra³

2016

J Med Case Reports

View full text Add to dashboard Cite

show abstract

“…3,4 Scoring Systems Various measures of clinical status are utilized to reflect the outcome of patients who have been diagnosed with a stroke, the most common being the Glasgow Coma Scale. The incidence reported above for strokes cannot reliably be expected to reflect covert strokes, although the occurrence of a covert stroke clearly indicates the severity of underlying disease or ongoing inflammation.…”

mentioning

confidence: 99%

Different Strokes for Operative Folks

Williams¹

2015

ASA Refresher Courses in Anesthesiology

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Pseudohypoxic Brain Swelling: Report of 2 Cases and Introduction of the Lentiform Rim Sign as Potential MRI Marker

et al. 2020

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Bilateral thalamic infarct after general anaesthesia for laparotomy: an unusual case of perioperative cryptogenic stroke

Cited by 4 publications

References 2 publications

Decompressive craniectomy for malignant middle cerebral artery infarction in a 16-year old boy: a case report

Decompressive craniectomy for malignant middle cerebral artery infarction in a 16-year old boy: a case report

Different Strokes for Operative Folks

Pseudohypoxic Brain Swelling: Report of 2 Cases and Introduction of the Lentiform Rim Sign as Potential MRI Marker

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