title: Hemorrhagic stroke after spinal anesthesia and minor surgery.
abstract: This report describes a case of hemorrhagic stroke that presented as an expressive aphasia after routine hernia repair under spinal anesthesia in an otherwise generally healthy middle-aged outpatient. Possible roles of preexisting migrainous headaches and perioperative ephedrine are discussed, but, as in most cases of perioperative stroke, the possibilities are numerous and the cause of the stroke difficult to determine.
authors.affiliation: Department of Anaesthesia, Harvard Medical School, Boston, MA, USA.
authors.forename: Thuc
authors.initials: T
authors.lastname: Tran
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Culley
authors.forename: Gregory
authors.initials: G
authors.lastname: Crosby
mesh_terms: D000775:Anesthesia, Spinal / Q000009:adverse effects*; D004809:Ephedrine / Q000009:adverse effects; D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D008875:Middle Aged; D019990:Perioperative Care; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*; D014662:Vasoconstrictor Agents / Q000009:adverse effects
chemical_list: D014662:Vasoconstrictor Agents; D004809:Ephedrine