title: Early detection of an acute cerebral event during cardiopulmonary bypass using a bispectral index monitor.
abstract: A case in which the bispectral index monitor underwent an acute change that was most likely the earliest indicator of an intraoperative stroke during replacement of an aortic valve is discussed in this study. The timely response to this intraoperative event may have facilitated a better outcome by virtue of more rapid interventions to limit the severity of the injury.
authors.affiliation: Department of Anesthesiology, Mount Sinai Medical Center, New York, New York 10029, USA.
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Leggat
authors.forename: Gregory W
authors.initials: GW
authors.lastname: Fischer
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003422:Critical Care; D017548:Echocardiography, Transesophageal; D004569:Electroencephalography; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016343:Monitoring, Intraoperative / Q000379:methods*; D020521:Stroke / Q000175:diagnosis* / Q000209:etiology*; D014057:Tomography, X-Ray Computed