Wallenberg syndrome in a patient after pulmonary resection: a case report-Reference-Cited by-同舟云学术

Wallenberg syndrome in a patient after pulmonary resection: a case report

Published:2023-08-16 Issue:1 Volume:2 Page:
ISSN:2731-6203
Container-title:General Thoracic and Cardiovascular Surgery Cases
language:en
Short-container-title:Gen Thorac Cardiovasc Surg Cases

Author:

Matsuo Tsubasa^ORCID,Kimura Daisuke,Tani Kengo,Sasaki Takahiro,Minakawa Masahito

Abstract

Abstract Background Cerebral infarction after pulmonary resection is a minor but critical complication. We report a rare case of postoperative complication of Wallenberg syndrome caused by cerebral infarction in the posterior inferior cerebral artery after the left upper lobectomy. Case presentation A 72-year-old man developed cerebral infarction 2 days after a left upper lobectomy for lung cancer. Magnetic resonance imaging indicated right vertebral artery occlusion following an early ischemic area on the right lateral side of the medulla oblongata and cerebellum. Contrast-enhanced computed tomography revealed no thrombus in the left superior pulmonary vein stump. The patient was diagnosed with Wallenberg syndrome, and prompt anticoagulation therapy was initiated. The patient was discharged and transferred to another hospital for rehabilitation on postoperative day 16. Conclusions We present a rare case of Wallenberg syndrome occurring in the posterior inferior cerebral artery area due to vertebral artery occlusion after lobectomy. Because cerebral infarction of the posterior circulation has many similar symptoms due to the side effects of anesthetic drugs, careful physical examination is required to determine Wallenberg syndrome.

Publisher

Springer Science and Business Media LLC

Link

https://link.springer.com/content/pdf/10.1186/s44215-023-00065-y.pdf

Reference18 articles.

1. Bo N. Medullary infarcts and hemorrhages. In: Bogousslavsky J, Caplan L, editors. Stroke Syndromes. 2nd ed. New York: Cambridge University Press; 2001. 534–40.

2. Takahashi T, Takei T, Ito T, Hirano M, Takemoto M, Yagi K. Study of factors that may delay the diagnosis of Wallenberg syndrome. JSEM. 2014;17:504–8.

3. Kimura D, Fukuda I, Tsushima T, Sakai T, Umetsu S, Ogasawara Y, et al. Management of acute ischemic stroke after pulmonary resection: incidence and efficacy of endovascular thrombus aspiration. Gen Thorac Cardiovasc Surg. 2019;67:306–11.

4. Ikeda H, Yamana N, Murata Y, Saiki M. Thrombus removal by acute-phase endovascular reperfusion therapy to treat cerebral embolism caused by thrombus in the pulmonary vein stump after left upper pulmonary lobectomy: case report. NMC Case Rep J. 2015;2:26–30.

5. Tanaka Y, Okuma H, Ogawa H, Tane S, Houge D, Uyama A, et al. Successful treatment with emergent catheterization for the clot retrieval of early postoperative cerebral infarction after lung resection. ICU CCU. 2014;38:842–3 (in Japanese).