• David L McDonagh, Miles Berger, Joseph P Mathew, Carmelo Graffagnino, Carmelo A Milano, and Mark F Newman.
• Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA; Department of Neurology, Duke University Medical Center, Durham, NC, USA. Electronic address: david.mcdonagh@duke.edu.
• Lancet Neurol. 2014 May 1; 13 (5): 490502490-502.

AbstractAs increasing numbers of elderly people undergo cardiac surgery, neurologists are frequently called upon to assess patients with neurological complications from the procedure. Some complications mandate acute intervention, whereas others need longer term observation and management. A large amount of published literature exists about these complications and guidance on best practice is constantly changing. Similarly, despite technological advances in surgical intervention and modifications in surgical technique to make cardiac procedures safer, these advances often create new avenues for neurological injury. Accordingly, rapid and precise neurological assessment and therapeutic intervention rests on a solid understanding of the evidence base and procedural variables.Copyright © 2014 Elsevier Ltd. All rights reserved.

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