Perioperative stroke in a patient undergoing surgery for oral cancer: A case report

Sukegawa,Shintaro; Kanno,Takahiro; Kanai,Kengo; Mandai,Toshiko; Shibata,Akane; Takahashi,Yuka; Hirata,Yuji; Furuki,Yoshihiko

doi:10.3892/ol.2016.5031

Perioperative stroke in a patient undergoing surgery for oral cancer: A case report

Authors:
- Shintaro Sukegawa
- Takahiro Kanno
- Kengo Kanai
- Toshiko Mandai
- Akane Shibata
- Yuka Takahashi
- Yuji Hirata
- Yoshihiko Furuki
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Affiliations: Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760‑8557, Japan, Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane 693‑8501, Japan, Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital, Kagawa 760‑8557, Japan
Published online on: August 17, 2016 https://doi.org/10.3892/ol.2016.5031
Pages: 2660-2663

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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.

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