Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: S191-S193, 2010.
Article
Dans Anglais
| WPRIM
| ID: wpr-202671
ABSTRACT
A 6-year-old male patient who was suffering from a cold and a transient ischemic attack was scheduled to undergo encephalo-duro-arterio-synangiosis for treating his moyamoya disease. Acute brain edema occurred just after opening the dura mater. Head elevation, reduction of the head rotation and hyperventilation were done. The inhalational agents were discontinued and total intravenous anesthesia was started. The swelling was reduced after intravenously infusing mannitol. An abrupt return from hypocapnia to normocapnea during the induction of general anesthesia was thought to be the cause of the acute brain swelling. In conclusion, correction of hypocapnea needs to be performed gradually during the induction of anesthesia and when performing an operation for treating a patient with moyamoya disease.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Stress psychologique
/
Encéphale
/
Oedème cérébral
/
Accident ischémique transitoire
/
Revascularisation cérébrale
/
Hypocapnie
/
Basse température
/
Dure-mère
/
Tête
/
Hyperventilation
Limites du sujet:
Enfant
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Korean Journal of Anesthesiology
Année:
2010
Type:
Article
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