Abstract
Recently, as the average life expectancy of Japanese has become long, many aged patients visit the dental clinic. It is not unusual that they have various systemic basic disease.
In this report, we will describe a case of the cerebral infarction that occurred just before the dental treatment and died two months later. The patient was 69-year-old female. She had a medical history of hypertension, heart failure, premature ventricular constriction, thrombosis of inferior limb and atrial fibrillation.
She came to our clinic by car with her family and waited at the waiting room. She entered the treatment room by herself and sat. She lost her consciousness on the dental chair and snored. We suspected the apoplexy and requested the ambulanc car. Partial dentures were removed. We kept the airway and administered the oxygen. Arterial oxygen saturation and pulse rate were continuously monitored with a pulse oximeter. The venous route was kept for drug administration. The patient was carried to Nara Medical University Hospital after the nasopharyngeal airway was inserted.
The diagnosis was multiple cerebral infarction from the brainstem to the occipital lobe. She died after two months in spite of the medical therapy.
