Abstract
There has been an increase in spinal surgery for the elderly, with a corresponding potential increase in perioperative complications. In our department, 1833 patients underwent spinal surgery under general anesthesia from April 2001 to October 2012, and 2 of 260 patients aged ≥75 years old had postoperative cerebral infarction. An analysis of the pathogenic mechanism and potential risk factors showed that a history of cerebral infarction was a significant risk factor. Blood pressure rapidly increased on arousal from anesthesia, and particularly on extubation. The change in blood pressure was examined as a potential risk factor for cerebral infarction, but no significant relationship was observed. This result requires further examination in more patients with cerebral infarction after spinal surgery.
Highlights
Surgeries in elderly patients have increased with aging of the population
An analysis of the pathogenic mechanism and potential risk factors showed that a history of cerebral infarction was a significant risk factor
The change in blood pressure was examined as a potential risk factor for cerebral infarction, but no significant relationship was observed
Summary
Surgeries in elderly patients have increased with aging of the population. Many elderly patients have comorbidity such as hypertension and diabetes. We report two cases of elderly patients who developed cerebral infarction after surgery, for which we examined the pathogenic mechanism and risk factors
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