title: Multiple territory watershed infarcts following spinal anaesthesia.
abstract: Hypotension is one of the most common complications of spinal anaesthesia (SA). The intraoperative drop in the blood pressure is clearly associated with increased morbidity and mortality. In order to increase the awareness of this complication, we report a case of devastating stroke following an SA in a previously well woman with risk factors for vascular diseases. The patient developed multiple territory watershed infarcts and she eventually died from aspiration pneumonia 14 days after hospitalisation. The case highlights the risk of hypotension complicating SA.
authors.affiliation: Department of Internal Medicine, University Hospital Limerick, Limerick, Ireland.
authors.forename: Tarig Mohammed
authors.initials: TM
authors.lastname: Abkur
authors.affiliation: Department of Internal Medicine, University Hospital Limerick, Limerick, Ireland.
authors.forename: Mohamed Bakri
authors.initials: MB
authors.lastname: Mohamed
authors.affiliation: Department of Internal Medicine, University Hospital Limerick, Limerick, Ireland.
authors.forename: Catherine
authors.initials: C
authors.lastname: Peters
mesh_terms: D000368:Aged; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D020520:Brain Infarction / Q000209:etiology* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D007431:Intraoperative Complications; D008279:Magnetic Resonance Imaging; D011015:Pneumonia, Aspiration / Q000209:etiology / Q000473:pathology; D012307:Risk Factors