Journal of Clinical Anesthesia
Volume 21, Issue 8 , Pages 602-605, December 2009

Perioperative management of acute ischemic stroke: a case report

  • Hla Phon, MD (Chief Resident, Anesthesiology)
    • ,
  • Jeremy Jaffe, MD (Affiliated Faculty, Anesthesiology)
    • ,
  • Jay Horrow, MD, MS (Professor of Anesthesiology)

      Affiliations

    • Corresponding Author InformationCorresponding author.

Department of Anesthesiology, Drexel University College of Medicine, Philadelphia, PA 19102-1192, and Abington Memorial Hospital, Abington, PA 19001, USA

Received 19 November 2007; received in revised form 3 January 2009; accepted 5 January 2009. published online 26 October 2009.

Abstract 

Interrupting anticoagulation in patients at high risk for thromboembolism, even for critically important surgery, may lead to devastating outcomes. The patient described developed "Locked-in Syndrome" from basilar arterial thrombosis within 24 hours of withholding anticoagulation for urgent airway surgery. Emergency thrombolysis partially restored arterial flow, with recovery of some function. The dangers of hemorrhage during surgery must be balanced against the potentially devastating consequences of withholding anticoagulation in patients at high risk for thrombosis.

Keywords: Acute stroke, Ischemic stroke, Thrombolysis, Anticoagulation

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S0952-8180(09)00271-2

doi:10.1016/j.jclinane.2009.01.010

Journal of Clinical Anesthesia
Volume 21, Issue 8 , Pages 602-605, December 2009

Article Tools

* Image Usage & Resolution