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TECHNOLOGY, COMPUTING, AND SIMULATION

The Bispectral Index in the Diagnosis of Perioperative Stroke: A Case Report and Discussion

Ian J. Welsby, FRCA^*, J. Mark Ryan, FRCR^,, John V. Booth, FRCA^*, Ellen Flanagan, MD^*, Robert H. Messier, MD^,, and Cecil O. Borel, MD^*

Departments of *Anesthesiology, Radiology, and Surgery, Duke University Medical Center, Durham, North Carolina

Address correspondence and reprint requests to Ian J. Welsby, FRCA, Box 3094, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710. Address e-mail to welsb001{at}mc.duke.edu

IMPLICATIONS: We describe a case where the frequently used bispectral index (BIS) monitor provided the first indication of a massive stroke. The diagnosis of stroke should be considered in the event of an unexplained, sudden, and sustained decrease in the BIS.

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				K. P. Unnikrishnan, P. K. Sinha, K. Sriganesh, and P. R. Suneel Case report: Alterations in bispectral index following absolute alcohol embolization in a patient with intracranial arteriovenous malformation: [Modification de l'index bispectral suite a une embolisation avec alcool absolu chez un patient souffrant de malformation arterioveineuse intracranienne] Can J Anesth, November 1, 2007; 54(11): 908 - 911. [Abstract] [Full Text] [PDF]

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Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999