Abstract

Catastrophic neurocognitive complications may develop after thyroidectomy performed in a sitting or semi-sitting position. These complications are due to the mismatch between the brachial artery and arterial blood pressure at the brain level. NIRS detects the decrease in cerebral perfusion pressure in real time when blood pressure decrease. In this case report, we aimed to present a case of global cerebral ischemia that developed due to a sudden decrease in arterial blood pressure during thyroidectomy performed in a semi-sitting position.

Keywords: total thyroidectomy, semi-sitting position, cerebral perfusion pressure, arterial blood pressure, global cerebral ischemia

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Copyright and license

Copyright © 2025 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Yektaş A. Global cerebral ischemia following total thyroidectomy in a semi-sitting position. Sinir Sistemi Cerrahisi Derg 2025;10(2):72-78. https://doi.org/10.54306/SSCD.2025.211