Perioperative stroke in a patient undergoing surgery for oral cancer: A case report
Identifieur interne : 000615 ( Main/Exploration ); précédent : 000614; suivant : 000616Perioperative stroke in a patient undergoing surgery for oral cancer: A case report
Auteurs : Shintaro Sukegawa [Japon] ; Takahiro Kanno [Japon] ; Kengo Kanai [Japon] ; Toshiko Mandai [Japon] ; Akane Shibata [Japon] ; Yuka Takahashi [Japon] ; Yuji Hirata [Japon] ; Yoshihiko Furuki [Japon]Source :
- Oncology Letters [ 1792-1074 ] ; 2016.
Abstract
Carotid artery stenosis is a significant risk factor for stroke. In elderly patients with carotid atherosclerosis and stenosis, it is not unusual for oral, head and neck cancer surgery to be performed. The present study describes a case of stroke that occurred during a neck dissection for the treatment of cervical lymph node metastasis of a left maxillary gingival carcinoma. The patient was an 84-year-old female who was considered to be at high risk of a stroke based on pre-operative head and neck computed tomography scans, which detected severe carotid atherosclerosis and stenosis. There was no possible stroke prophylaxis available during the performance of the neck dissection in the present case. However, if patients are evaluated to be high-risk pre-operatively, statin agents should be administered, the surgery should be carefully performed, adequate sedation should be maintained post-operatively and the patient should be followed up, aiming to achieve the early detection of a possible stroke.
Url:
DOI: 10.3892/ol.2016.5031
PubMed: 27698839
PubMed Central: 5038166
Affiliations:
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report</title><author><name sortKey="Sukegawa, Shintaro" sort="Sukegawa, Shintaro" uniqKey="Sukegawa S" first="Shintaro" last="Sukegawa">Shintaro Sukegawa</name><affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-5031">Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557</wicri:regionArea><wicri:noRegion>Kagawa 760-8557</wicri:noRegion></affiliation></author><author><name sortKey="Kanno, Takahiro" sort="Kanno, Takahiro" uniqKey="Kanno T" first="Takahiro" last="Kanno">Takahiro Kanno</name><affiliation wicri:level="1"><nlm:aff id="af2-ol-0-0-5031">Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane 693-8501, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane 693-8501</wicri:regionArea><wicri:noRegion>Shimane 693-8501</wicri:noRegion></affiliation></author><author><name sortKey="Kanai, Kengo" sort="Kanai, Kengo" uniqKey="Kanai K" first="Kengo" last="Kanai">Kengo Kanai</name><affiliation wicri:level="1"><nlm:aff id="af3-ol-0-0-5031">Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557</wicri:regionArea><wicri:noRegion>Kagawa 760-8557</wicri:noRegion></affiliation></author><author><name sortKey="Mandai, Toshiko" sort="Mandai, Toshiko" uniqKey="Mandai T" first="Toshiko" last="Mandai">Toshiko Mandai</name><affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-5031">Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557</wicri:regionArea><wicri:noRegion>Kagawa 760-8557</wicri:noRegion></affiliation></author><author><name sortKey="Shibata, Akane" sort="Shibata, Akane" uniqKey="Shibata A" first="Akane" last="Shibata">Akane Shibata</name><affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-5031">Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557</wicri:regionArea><wicri:noRegion>Kagawa 760-8557</wicri:noRegion></affiliation></author><author><name sortKey="Takahashi, Yuka" sort="Takahashi, Yuka" uniqKey="Takahashi Y" first="Yuka" last="Takahashi">Yuka Takahashi</name><affiliation wicri:level="1"><nlm:aff id="af1-ol-0-0-5031">Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557</wicri:regionArea><wicri:noRegion>Kagawa 760-8557</wicri:noRegion></affiliation></author><author><name sortKey="Hirata, Yuji" sort="Hirata, Yuji" uniqKey="Hirata Y" first="Yuji" last="Hirata">Yuji Hirata</name><affiliation wicri:level="1"><nlm:aff id="af3-ol-0-0-5031">Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557</wicri:regionArea><wicri:noRegion>Kagawa 760-8557</wicri:noRegion></affiliation></author><author><name sortKey="Furuki, Yoshihiko" sort="Furuki, Yoshihiko" uniqKey="Furuki Y" first="Yoshihiko" last="Furuki">Yoshihiko Furuki</name><affiliation wicri:level="1"><nlm:aff id="af3-ol-0-0-5031">Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557</wicri:regionArea><wicri:noRegion>Kagawa 760-8557</wicri:noRegion></affiliation></author></analytic><series><title level="j">Oncology Letters</title><idno type="ISSN">1792-1074</idno><idno type="eISSN">1792-1082</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Carotid artery stenosis is a significant risk factor for stroke. In elderly patients with carotid atherosclerosis and stenosis, it is not unusual for oral, head and neck cancer surgery to be performed. The present study describes a case of stroke that occurred during a neck dissection for the treatment of cervical lymph node metastasis of a left maxillary gingival carcinoma. The patient was an 84-year-old female who was considered to be at high risk of a stroke based on pre-operative head and neck computed tomography scans, which detected severe carotid atherosclerosis and stenosis. There was no possible stroke prophylaxis available during the performance of the neck dissection in the present case. However, if patients are evaluated to be high-risk pre-operatively, statin agents should be administered, the surgery should be carefully performed, adequate sedation should be maintained post-operatively and the patient should be followed up, aiming to achieve the early detection of a possible stroke.</p></div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Sukegawa, Shintaro" sort="Sukegawa, Shintaro" uniqKey="Sukegawa S" first="Shintaro" last="Sukegawa">Shintaro Sukegawa</name></noRegion><name sortKey="Furuki, Yoshihiko" sort="Furuki, Yoshihiko" uniqKey="Furuki Y" first="Yoshihiko" last="Furuki">Yoshihiko Furuki</name><name sortKey="Hirata, Yuji" sort="Hirata, Yuji" uniqKey="Hirata Y" first="Yuji" last="Hirata">Yuji Hirata</name><name sortKey="Kanai, Kengo" sort="Kanai, Kengo" uniqKey="Kanai K" first="Kengo" last="Kanai">Kengo Kanai</name><name sortKey="Kanno, Takahiro" sort="Kanno, Takahiro" uniqKey="Kanno T" first="Takahiro" last="Kanno">Takahiro Kanno</name><name sortKey="Mandai, Toshiko" sort="Mandai, Toshiko" uniqKey="Mandai T" first="Toshiko" last="Mandai">Toshiko Mandai</name><name sortKey="Shibata, Akane" sort="Shibata, Akane" uniqKey="Shibata A" first="Akane" last="Shibata">Akane Shibata</name><name sortKey="Takahashi, Yuka" sort="Takahashi, Yuka" uniqKey="Takahashi Y" first="Yuka" last="Takahashi">Yuka Takahashi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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