RESUMO
Acute internal carotid artery occlusion is a neurological emergency that can result in cerebral infarction. Superficial temporal artery to middle cerebral artery bypass is one option to treat a subset of such patients. Near-infrared spectroscopy (NIRS) is an emerging non-invasive technique that holds promise to facilitate the management of carotid occlusion patients by monitoring the oxygen saturation of specific brain areas at risk for hypoperfusion and infarction. This case report describes a man in his 50s who presented with left-sided weakness due to acute right internal carotid artery occlusion. The patient was successfully managed both medically and surgically while incorporating data from NIRS for decision-making.
Assuntos
Artéria Carótida Interna , Espectroscopia de Luz Próxima ao Infravermelho , Humanos , Masculino , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Pessoa de Meia-Idade , Artéria Carótida Interna/diagnóstico por imagem , Estenose das Carótidas/cirurgia , Estenose das Carótidas/diagnóstico por imagemRESUMO
Enhanced Recovery After Surgery (ERAS) protocols describe a standardized method of preoperative, perioperative, and postoperative care to enhance outcomes and minimize complication risks surrounding elective surgical intervention. A growing body of evidence is being generated as we learn to apply principles of ERAS standardization to neurosurgical patients. First applied in spinal surgery, ERAS protocols have been extended to cranial neuro-oncologic procedures. This review synthesizes recent findings to generate evidence-based guidelines to manage neurosurgical oncology patients with standardized systems and assess ability of these systems to coordinate multidisciplinary, patient-centric care efforts. Furthermore, we highlight the potential usefulness of multimedia, app-based communication platforms to facilitate patient education, autonomy, and team communication within each of the 3 settings.