Abstract
An increasing number of patients with a prior history of stroke present for various
types of surgeries. They have varying degree of neurological disability and associated
co-morbidities, which pose challenges for their perioperative management. There is
paucity in literature about their management guidelines for noncardiac, noncarotid
surgeries. The available literature suggests higher risk of perioperative stroke,
postoperative neurological deficits, and other morbidities. Measures to reduce perioperative
risks are discussed in this review. Prior optimization by improving modifiable risk
factors, choosing appropriate timing of elective surgery, and careful titration of
anesthesia and close monitoring are needed.
Keywords
stroke - anesthesia - perioperative risk - cerebral ischemia
