Perioperative stroke in a patient undergoing surgery for oral cancer: A case report
Identifieur interne : 002503 ( Pmc/Corpus ); précédent : 002502; suivant : 002504Perioperative stroke in a patient undergoing surgery for oral cancer: A case report
Auteurs : Shintaro Sukegawa ; Takahiro Kanno ; Kengo Kanai ; Toshiko Mandai ; Akane Shibata ; Yuka Takahashi ; Yuji Hirata ; Yoshihiko FurukiSource :
- 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
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Perioperative stroke in a patient undergoing surgery for oral cancer: A case report</title><author><name sortKey="Sukegawa, Shintaro" sort="Sukegawa, Shintaro" uniqKey="Sukegawa S" first="Shintaro" last="Sukegawa">Shintaro Sukegawa</name><affiliation><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></affiliation></author><author><name sortKey="Kanno, Takahiro" sort="Kanno, Takahiro" uniqKey="Kanno T" first="Takahiro" last="Kanno">Takahiro Kanno</name><affiliation><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></affiliation></author><author><name sortKey="Kanai, Kengo" sort="Kanai, Kengo" uniqKey="Kanai K" first="Kengo" last="Kanai">Kengo Kanai</name><affiliation><nlm:aff id="af3-ol-0-0-5031">Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</nlm:aff></affiliation></author><author><name sortKey="Mandai, Toshiko" sort="Mandai, Toshiko" uniqKey="Mandai T" first="Toshiko" last="Mandai">Toshiko Mandai</name><affiliation><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></affiliation></author><author><name sortKey="Shibata, Akane" sort="Shibata, Akane" uniqKey="Shibata A" first="Akane" last="Shibata">Akane Shibata</name><affiliation><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></affiliation></author><author><name sortKey="Takahashi, Yuka" sort="Takahashi, Yuka" uniqKey="Takahashi Y" first="Yuka" last="Takahashi">Yuka Takahashi</name><affiliation><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></affiliation></author><author><name sortKey="Hirata, Yuji" sort="Hirata, Yuji" uniqKey="Hirata Y" first="Yuji" last="Hirata">Yuji Hirata</name><affiliation><nlm:aff id="af3-ol-0-0-5031">Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</nlm:aff></affiliation></author><author><name sortKey="Furuki, Yoshihiko" sort="Furuki, Yoshihiko" uniqKey="Furuki Y" first="Yoshihiko" last="Furuki">Yoshihiko Furuki</name><affiliation><nlm:aff id="af3-ol-0-0-5031">Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27698839</idno><idno type="pmc">5038166</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5038166</idno><idno type="RBID">PMC:5038166</idno><idno type="doi">10.3892/ol.2016.5031</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002503</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002503</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Perioperative stroke in a patient undergoing surgery for oral cancer: A case report</title><author><name sortKey="Sukegawa, Shintaro" sort="Sukegawa, Shintaro" uniqKey="Sukegawa S" first="Shintaro" last="Sukegawa">Shintaro Sukegawa</name><affiliation><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></affiliation></author><author><name sortKey="Kanno, Takahiro" sort="Kanno, Takahiro" uniqKey="Kanno T" first="Takahiro" last="Kanno">Takahiro Kanno</name><affiliation><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></affiliation></author><author><name sortKey="Kanai, Kengo" sort="Kanai, Kengo" uniqKey="Kanai K" first="Kengo" last="Kanai">Kengo Kanai</name><affiliation><nlm:aff id="af3-ol-0-0-5031">Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</nlm:aff></affiliation></author><author><name sortKey="Mandai, Toshiko" sort="Mandai, Toshiko" uniqKey="Mandai T" first="Toshiko" last="Mandai">Toshiko Mandai</name><affiliation><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></affiliation></author><author><name sortKey="Shibata, Akane" sort="Shibata, Akane" uniqKey="Shibata A" first="Akane" last="Shibata">Akane Shibata</name><affiliation><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></affiliation></author><author><name sortKey="Takahashi, Yuka" sort="Takahashi, Yuka" uniqKey="Takahashi Y" first="Yuka" last="Takahashi">Yuka Takahashi</name><affiliation><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></affiliation></author><author><name sortKey="Hirata, Yuji" sort="Hirata, Yuji" uniqKey="Hirata Y" first="Yuji" last="Hirata">Yuji Hirata</name><affiliation><nlm:aff id="af3-ol-0-0-5031">Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</nlm:aff></affiliation></author><author><name sortKey="Furuki, Yoshihiko" sort="Furuki, Yoshihiko" uniqKey="Furuki Y" first="Yoshihiko" last="Furuki">Yoshihiko Furuki</name><affiliation><nlm:aff id="af3-ol-0-0-5031">Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</nlm:aff></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><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Oncol Lett</journal-id><journal-id journal-id-type="iso-abbrev">Oncol Lett</journal-id><journal-id journal-id-type="publisher-id">OL</journal-id><journal-title-group><journal-title>Oncology Letters</journal-title></journal-title-group><issn pub-type="ppub">1792-1074</issn><issn pub-type="epub">1792-1082</issn><publisher><publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27698839</article-id><article-id pub-id-type="pmc">5038166</article-id><article-id pub-id-type="doi">10.3892/ol.2016.5031</article-id><article-id pub-id-type="publisher-id">OL-0-0-5031</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Perioperative stroke in a patient undergoing surgery for oral cancer: A case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sukegawa</surname><given-names>Shintaro</given-names></name><xref ref-type="aff" rid="af1-ol-0-0-5031">1</xref><xref rid="c1-ol-0-0-5031" ref-type="corresp"></xref></contrib><contrib contrib-type="author"><name><surname>Kanno</surname><given-names>Takahiro</given-names></name><xref ref-type="aff" rid="af2-ol-0-0-5031">2</xref></contrib><contrib contrib-type="author"><name><surname>Kanai</surname><given-names>Kengo</given-names></name><xref ref-type="aff" rid="af3-ol-0-0-5031">3</xref></contrib><contrib contrib-type="author"><name><surname>Mandai</surname><given-names>Toshiko</given-names></name><xref ref-type="aff" rid="af1-ol-0-0-5031">1</xref></contrib><contrib contrib-type="author"><name><surname>Shibata</surname><given-names>Akane</given-names></name><xref ref-type="aff" rid="af1-ol-0-0-5031">1</xref></contrib><contrib contrib-type="author"><name><surname>Takahashi</surname><given-names>Yuka</given-names></name><xref ref-type="aff" rid="af1-ol-0-0-5031">1</xref></contrib><contrib contrib-type="author"><name><surname>Hirata</surname><given-names>Yuji</given-names></name><xref ref-type="aff" rid="af3-ol-0-0-5031">3</xref></contrib><contrib contrib-type="author"><name><surname>Furuki</surname><given-names>Yoshihiko</given-names></name><xref ref-type="aff" rid="af3-ol-0-0-5031">3</xref></contrib></contrib-group><aff id="af1-ol-0-0-5031"><label>1</label>Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557, Japan</aff><aff id="af2-ol-0-0-5031"><label>2</label>Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane 693-8501, Japan</aff><aff id="af3-ol-0-0-5031"><label>3</label>Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan</aff><author-notes><corresp id="c1-ol-0-0-5031"><italic>Correspondence to</italic>: Dr Shintaro Sukegawa, Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, 1-2-1 Asahi-cho, Takamatsu, Kagawa 760-8557, Japan, E-mail: <email>gouwan19@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>10</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>17</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>17</day><month>8</month><year>2016</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>12</volume><issue>4</issue><fpage>2660</fpage><lpage>2663</lpage><history><date date-type="received"><day>13</day><month>12</month><year>2014</year></date><date date-type="accepted"><day>19</day><month>1</month><year>2016</year></date></history><permissions><copyright-statement>Copyright © 2016, Spandidos Publications</copyright-statement><copyright-year>2016</copyright-year></permissions><abstract><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></abstract><kwd-group><kwd>carotid atherosclerosis</kwd><kwd>neck dissection</kwd><kwd>perioperative complication</kwd><kwd>oral squamous cell carcinoma</kwd><kwd>stroke</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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