Intracerebral hemorrhage following enucleation: a result of surgery or anesthesia ? A Case Report
Middle East Journal of Anesthesiology. 2006; 18 (5): 965-970
em Inglês
| IMEMR
| ID: emr-79643
ABSTRACT
Choroidal melanoma is the most common primary intraocular cancer in adults. A sixty-nine years old, hypertensive male with a choroidal melanoma underwent enucleation. After extubation he woke up confused and unconscious. An emergent computed tomographic [CT] scan demonstrated intracerebral hematoma. The underwent repeat surgery in the postoperative first hour, because of left parietotemporal intracerebral hematoma. His neurological state became worse and he died in the eighth postoperative day. Sympathetic stimulation due to extubation, causing increase in the intracranial pressure or uncontrolled hypertension, may be reasons precipitating intracranial hemorrhage. In patients, who undergo intracranial or intraorbital surgery, had risk factors of intracranial hemorrhage or showed labile blood pressure perioperatively and were confused or unconscious in the postoperatively or had delayed emergence, intracranial hematoma must be suspected
Buscar no Google
Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Complicações Pós-Operatórias
/
Enucleação Ocular
/
Hipertensão
/
Anestesia
Tipo de estudo:
Relato de Casos
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Middle East J. Anesthesiol.
Ano de publicação:
2006
Similares
MEDLINE
...
LILACS
LIS