Delayed cerebral infarct following anterior cervical diskectomy and fusion.

CONCLUSIONS: This case demonstrates the importance of focused history and examination in appropriate patients prior to ACDF, with special consideration given to the significance of age, comorbidities including coagulopathy and arrhythmia, and potential underlying vascular disease as markers for increased risk of perioperative thrombotic stroke associated with carotid manipulation. Patients at higher risk warrant comprehensive preoperative assessment, including medical evaluation, carotid imaging, and consideration for alternative surgical approaches.
PMID: 27713852 [PubMed - in process]

Source: Surgical Neurology International - October 11, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research