Elhairech Dahmane, Lmejatti Mohamed
Neurosurgery Department, Hassan II University Hospital, Agadir City, Morocco.
Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, CF49+F65, Agadir 80000, Morocco.
Pan Afr Med J. 2025 Mar 7;50:67. doi: 10.11604/pamj.2025.50.67.40590. eCollection 2025.
Cervical spondylotic myelopathy is a degenerative disease that often requires surgical intervention. Postoperative cerebral ischemia is a rare but serious complication of cervical disc herniation surgery, with its pathophysiology poorly described. Intraoperative carotid manipulation is the most likely cause of this ischemia. We report a case of ischemic stroke as a complication following cervical disc herniation surgery in a 52-year-old patient. The patient developed left hemiplegia and central facial palsy immediately after surgery. Imaging revealed an ischemic stroke in the right Sylvian territory associated with atherosclerotic changes in the right common carotid artery. Early postoperative rehabilitation and antiplatelet therapy led to partial recovery. This case highlights the importance of careful carotid management during surgery and the need for preoperative assessment in high-risk patients.
脊髓型颈椎病是一种通常需要手术干预的退行性疾病。术后脑缺血是颈椎间盘突出症手术罕见但严重的并发症，其病理生理学描述甚少。术中颈动脉操作是这种缺血最可能的原因。我们报告一例52岁患者颈椎间盘突出症手术后出现缺血性中风并发症的病例。患者术后立即出现左侧偏瘫和中枢性面瘫。影像学检查显示右侧大脑外侧裂区缺血性中风，伴有右侧颈总动脉粥样硬化改变。术后早期康复和抗血小板治疗使病情部分恢复。该病例强调了手术期间仔细管理颈动脉的重要性以及对高危患者进行术前评估的必要性。
