Cerebral Embolization Presenting as Delayed, Severe Obtundation in the Postanesthesia Care Unit After Total Hip Arthroplasty Michael C. Ott, MD, James.

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Cerebral Embolization Presenting as Delayed, Severe Obtundation in the Postanesthesia Care Unit After Total Hip Arthroplasty Michael C. Ott, MD, James F. Meschia, MD, David C. Mackey, MD, Mark P. Brodersen, MD, Charles Burger, MD, J. Dan Echols, MD, Douglas S. Fenton, MD Mayo Clinic Proceedings Volume 75, Issue 11, Pages 1209-1213 (November 2000) DOI: 10.4065/75.11.1209 Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Cranial magnetic resonance images reveal multiple regions of abnormally increased signal intensity. Left, Multiple focal abnormalities in the cerebellum, especially on the left. Right, Multiple cortical and subcortical abnormalities in watershed distributions (regions between large vascular territories) bilaterally and in the left periventricular region. Mayo Clinic Proceedings 2000 75, 1209-1213DOI: (10.4065/75.11.1209) Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Cranial magnetic resonance images obtained 12 days later, demonstrating resolution of a substantial majority of the abnormal signals, suggesting that most of the abnormalities seen initially were areas of transient ischemia. Mayo Clinic Proceedings 2000 75, 1209-1213DOI: (10.4065/75.11.1209) Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions