Focal cerebral ischemia after surgery in the "beach chair" position: The role of a congenital variation of circle of willis anatomy

Anesthesia and Analgesia

Volumn 114, Issue 6, 2012, Pages 1301-1303

  Drummond, John C ^a,b   Lee, Roland R ^a,b   Howell Jr , James P ^c  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c O'Connor Medical Center   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DEXAMETHASONE; DIAZEPAM; FENTANYL; KETOROLAC; MIDAZOLAM; ONDANSETRON; PROPOFOL; SEVOFLURANE;

ADULT; ARTERIAL PRESSURE; ARTICLE; BEACH CHAIR POSITION; BODY POSITION; BRAIN CIRCULUS ARTERIOSUS; BRAIN ISCHEMIA; CASE REPORT; COLLATERAL CIRCULATION; DELAYED EMERGENCE FROM ANESTHESIA; FETUS CIRCULATION; FOCAL CEREBRAL ISCHEMIA; HEMIPARESIS; HUMAN; HYPOTENSION; MAGNETIC RESONANCE ANGIOGRAPHY; MALE; MIDDLE CEREBRAL ARTERY; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; ROTATOR CUFF INJURY; SHOULDER SURGERY;

BLOOD PRESSURE; BRAIN ISCHEMIA; CENTRAL NERVOUS SYSTEM VASCULAR MALFORMATIONS; CIRCLE OF WILLIS; HUMANS; MAGNETIC RESONANCE ANGIOGRAPHY; MALE; MIDDLE AGED; ORTHOPEDIC PROCEDURES; PARESIS; PATIENT POSITIONING; RECOVERY OF FUNCTION; ROTATOR CUFF; TIME FACTORS; TREATMENT OUTCOME;

EID: 84861512053     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/ANE.0b013e31823aca46     Document Type: Article

References (8)

1. Macchi C, Catini C, Federico C, Gulisano M, Pacini P, Cecchi F, Corcos L, Brizzi E. Magnetic resonance angiographic evaluation of circulus arteriosus cerebri (circle of Willis): a morphologic study in 100 human healthy subjects. Ital J Anat Embryol 1996;101:115-23
2. Manninen H, Makinen K, Vanninen R, Ronkainen A, Tulla H. How often does an incomplete circle of Willis predispose to cerebral ischemia during closure of carotid artery? Postmortem and clinical imaging studies. Acta Neurochir (Wien) 2009;151: 1099-105
3. Van Raamt AF, Mali WP, Van Laar PJ, Van der Graaf Y. The fetal variant of the circle of Willis and its influence on the cerebral collateral circulation. Cerebrovasc Dis 2006;22:217-24
4. Macchi C, Lova RM, Miniati B, Gulisano M, Pratesi C, Conti AA, Gensini GF. The circle of Willis in healthy older persons. J Cardiovasc Surg (Torino) 2002;43:887-90
5. Waaijer A, Van Leeuwen MS, Van der Worp HB, Verhagen HJ, Mali WP, Velthuis BK. Anatomic variations in the circle of Willis in patients with symptomatic carotid artery stenosis assessed with multidetector row CT angiography. Cerebrovasc Dis 2007;23:267-74
6. Cullen D, Kirby R. Beach chair position may decrease cerebral perfusion: catastrophic outcomes have occurred. APSF Newslett 2007;22:25-7
7. Lee L, Caplan R. APSF workshop: cerebral perfusion experts share views on management of head-up cases. APSF Newslett 2009-10;24:45-8
8. Drummond JC, Hargens AR, Patel PM. Hydrostatic gradient is important-blood pressure should be corrected. APSF Newslett 2009;24:6