Key result
A 62-year-old woman experienced a severe perioperative ischemic stroke (NIHSS 26) following an unremarkable direct laryngoscopy and vocal cord injection under general anesthesia.
Why the study?
Medications given during anesthesia can mask stroke symptoms and make early diagnosis difficult in patients undergoing surgery.
Case Report (n=1)
Perioperative stroke can occur even following minor noncardiac, non-neurosurgical procedures, highlighting the need for vigilance and prompt multidisciplinary treatment.
Case report of masked perioperative stroke symptoms warrants vigilance; hypothesis-generating and should not change practice without prospective data.
Perioperative stroke is a focal or global neurological deficit lasting more than 24 hours, which occurs during the surgery or within 30 days following surgery. Medications administered during anesthesia mask the symptoms of stroke in the perioperative period and make the early diagnosis of stroke difficult. Postoperative endothelial dysfunction and surgery-induced hypercoagulable state are some of the factors contributing to perioperative stroke. This report describes a case of perioperative stroke in a patient with an unremarkable intraoperative course following otolaryngology surgery. Vigilance, early diagnosis, and prompt treatment with the help of the acute stroke team are pivotal in improving patient outcomes.
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Kurnutala et al. (2020) conducted a case report in Perioperative stroke (n=1). General anesthesia for noncardiac, non-neurosurgical procedure was evaluated on Perioperative stroke. A 62-year-old woman experienced a severe perioperative ischemic stroke (NIHSS 26) following an unremarkable direct laryngoscopy and vocal cord injection under general anesthesia.
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