"Other" neurologic complications after cardiac surgery.
Compared to the neurologic morbidity of stroke and cognitive dysfunction, "other" neurologic complications involving injuries to the brachial plexus, phrenic nerve, cranial nerves, other peripheral nerves, as well as the visual pathways, have been disproportionately underrepresented in the cardiac surgery and anesthesiology literature. These injuries are often missed in the early postoperative period when attention is focused principally on recovery from the acute trespass of cardiac surgery and cardiopulmonary bypass. However, when these problems do become apparent, they can cause considerable discomfort and morbidity. An overview of the current concepts of injury mechanisms/etiology, diagnosis, prognosis, and when possible, prevention of these injuries is presented.
Grocott
Hilary P
HP
Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA. h.grocott@duke.edu
Clark
Jeffrey A
JA
Homi
H Mayumi
HM
Sharma
Ajeet
A
D019575:Blindness, Cortical / Q000503:physiopathology; D001917:Brachial Plexus / Q000293:injuries; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006732:Horner Syndrome / Q000503:physiopathology; D006801:Humans; D061224:Laryngeal Nerve Injuries; D007823:Laryngeal Nerves / Q000473:pathology; D009422:Nervous System Diseases / Q000209:etiology* / Q000503:physiopathology; D009901:Optic Nerve Diseases / Q000503:physiopathology; D010523:Peripheral Nervous System Diseases / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D010791:Phrenic Nerve / Q000293:injuries / Q000473:pathology; D011183:Postoperative Complications / Q000503:physiopathology*; D012008:Recurrence