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Internal Carotid Artery Dissection after Remote Surgery:Iatrogenic Complications of Anesthesia
Stroke 25:1276-1278, Gould,D.B.&Cunningham,K., 1994
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Article Abstract
An anesthetist stretched the neck of a 44-year-old man by anchoring an anesthesia mask posterior to the angle of the jaw with overlying fingers as the patient struggled during an insufficient inhalational mask anesthetic.A 33-year-old man received an endotracheal anesthetic without struggle,but as he was turned from a supine to a prone position,his head and neck were not immobilized to rotate with his torso during the move.The next day both patients suffered acute cerebral infarctions secondary to ICA dissections and occlusions(angiographically demonstrated).Stretching the soft neck tissues of anesthetized patients can cause internal carotid artery dissection and acute cerebral infarction.
 
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anesthesia,general
arterial dissection
arterial dissection,carotid
arterial dissection,traumatic
carotid angiogram
carotid artery injury
carotid artery occlusion,neck
cerebrovascular accident
cerebrovascular accident,in-hospital
cerebrovascular accident,postoperative
cervical spine manipulation
chiropractic manipulation
iatrogenic neurologic disorders
in-hospital
intubation
neck extension
neurologic complications of,surgery
postoperative neurologic complications
trauma

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