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Postoperative brain stroke after shoulder arthroscopy in the lateral decubitus position
Ahed Zeidan1, Mohammed Bluwi2, Kamal Elshamaa1
1Department of Anesthesiology, Procare Riaya Hospital, Al-Khobar, Kingdom of Saudi Arabia.
Summary
Shoulder arthroscopy can lead to stroke, even in the lateral decubitus position. Intraoperative hypotension may be a contributing factor, regardless of patient positioning during surgery.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Anesthesiology
Background:
- The beach chair position is common for shoulder arthroscopy but associated with postoperative cerebral stroke.
- The lateral decubitus position is an alternative to mitigate neurological risks.
- Cerebrovascular complications remain a concern in shoulder arthroscopy.
Observation:
- A 52-year-old male developed a postoperative brain stroke after shoulder arthroscopy.
- The surgery was performed in the lateral decubitus position.
- The patient experienced transient intraoperative hypotension.
Findings:
- Postoperative stroke occurred despite using the lateral decubitus position.
- Intraoperative hypotension was noted during the procedure.
Implications:
- Cerebral stroke is a potential complication of shoulder arthroscopy, irrespective of patient positioning.
- Awareness of this risk is crucial for physicians, even when using alternative positions like lateral decubitus.
- Hypotension may be a critical factor in the development of postoperative neurologic complications.
