title: Cerebrovascular accident under anesthesia during dental surgery.
abstract: Stroke, or cerebrovascular accident (CVA), is a medical emergency that may lead to permanent neurological damage, complications, and death. The rapid loss of brain function due to disruption of the blood supply to the brain is caused by blockage (thrombosis, arterial embolism) or hemorrhage. The incidence of CVA during anesthesia for noncardiac nonvascular surgery is as high as 1% depending on risk factors. Comprehensive preoperative assessment and good perioperative management may prevent a CVA. However, should an ischemic event occur, appropriate and rapid management is necessary to minimize the deleterious effects caused to the patient. This case report describes a patient who had an ischemic CVA while under general anesthesia for dental alveolar surgery and discusses the anesthesia management.
authors.affiliation: Assistant Professor, Department of Dental Anesthesiology, University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania.
authors.forename: Mathew
authors.initials: M
authors.lastname: Cooke
authors.forename: Michael A
authors.initials: MA
authors.lastname: Cuddy
authors.forename: Brad
authors.initials: B
authors.lastname: Farr
authors.forename: Paul A
authors.initials: PA
authors.lastname: Moore
mesh_terms: D000328:Adult; D000543:Alveoloplasty / Q000379:methods; D000766:Anesthesia, Dental; D000768:Anesthesia, General; D001146:Arrhythmia, Sinus / Q000209:etiology; D001919:Bradycardia / Q000209:etiology; D002545:Brain Ischemia / Q000209:etiology; D016893:Carotid Stenosis / Q000150:complications*; D004569:Electroencephalography / Q000379:methods; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007431:Intraoperative Complications; D007442:Intubation, Intratracheal / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D019647:Oral Surgical Procedures; D020521:Stroke / Q000209:etiology*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014081:Tooth Extraction / Q000379:methods; D018879:Ventricular Premature Complexes / Q000209:etiology
keywords: Cerebrovascular event; Complication; Dentistry.; General anesthesia