Mechanisms of perioperative cerebral infarction.

  title={Mechanisms of perioperative cerebral infarction.},
  author={Robert Hart and Bradley J Hindman},
  volume={13 6},
Perioperative cerebral infarction occurs in less than 1% of general surgical procedures; the mechanism is usually unknown. The clinical features of 12 consecutive perioperative strokes were retrospectively reviewed. Although intraoperative hypotension was frequent, onset of deficit occurred postoperatively in 83% and intraoperatively in 17%. Cardiogenic embolism was a common cause of stroke (42%), with atrial fibrillation present in 4 patients (33%) at the time of stroke. The potential roles of… CONTINUE READING

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