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Updated: Aug 15, 2026
Arthroscopic Excision of Posterior Cruciate Ligament Cysts Using a Double Posteromedial Approach
Published on: October 20, 2023
An Unusual Catastrophic Neurological Complication Following a Routine Arthroscopic Multiligament Knee Reconstruction:
Rahul Kakran1, Ashish Kumar Agarwal1, Vinay Sharma1
1Department of Orthopaedics, Yashoda Group of Hospitals, Ghaziabad, Uttar Pradesh, India.
Introduction:
Acute ischemic stroke following arthroscopic knee surgery is extremely rare and can result in significant morbidity and mortality. Early recognition is crucial for timely management.
Case Report:
A 44-year-old male with a multiligament injury of the left knee underwent arthroscopic anterior cruciate ligament reconstruction, meniscal repair, and posterior cruciate ligament avulsion fixation. In the immediate post-operative period, he developed altered sensorium and left-sided weakness. Neuroimaging revealed a massive right hemispheric infarction with complete occlusion of the right internal carotid artery. The exact etiology remained uncertain despite extensive evaluation.
Conclusion:
Post-operative neurological deterioration following arthroscopic surgery warrants urgent evaluation. Early neurovascular imaging and multidisciplinary management are essential for the diagnosis and treatment of these rare but catastrophic events.