RESUMO
Dentro de la edad pediátrica, la amigdalectomía es una de las cirugías otorrinolaringológicas más realizadas. Las complicaciones postoperatorias se clasifican en: primarias o inmediatas, de aparición generalmente en las primeras 24 h; y secundarias o tardías, a partir de las 48 h. Presentamos el caso de un infarto cerebral en un niño de 3 años, tras la realización de una amigdalectomía, que fue diagnosticado en el postoperatorio inmediato. En la eco-doppler y la angio-TC cerebral se visualizó un trombo intraluminal en la arteria carótida interna izquierda de etiología traumática directa, probablemente secundario a la ligadura arterial durante los procedimientos de hemostasia (AU)
Tonsillectomy is one of the most frecuently performed otorhinolaryngological procedures on children. The postoperative complications are classified into primary or intermediate, which generally appear within 24 h, and as secondary or delayed, after 48 h. We present the case of an ischemic stroke after performing a tonsillectomy on a 3 year-old boy, which was diagnosed in the immediate postoperative period. Using brain echo-doppler and angio-CT, an intraluminal clot was observed in the left internal carotid artery, probably as a result of direct vessel injury during arterial ligature for hemostasis (AU)
Assuntos
Humanos , Masculino , Criança , Acidente Vascular Cerebral/metabolismo , Acidente Vascular Cerebral/patologia , Pediatria/educação , Hemostasia/genética , Síndromes da Apneia do Sono/genética , Síndromes da Apneia do Sono/metabolismo , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/metabolismo , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/diagnóstico , Pediatria/métodos , Hemostasia/fisiologia , Síndromes da Apneia do Sono/congênito , Síndromes da Apneia do Sono/complicações , Transtornos de Deglutição/complicações , Transtornos de Deglutição/fisiopatologiaRESUMO
Tonsillectomy is one of the most frequently performed otorhinolaryngological procedures on children. The postoperative complications are classified into primary or intermediate, which generally appear within 24h, and as secondary or delayed, after 48 h. We present the case of an ischemic stroke after performing a tonsillectomy on a 3 year-old boy, which was diagnosed in the immediate postoperative period. Using brain echo-doppler and angio-CT, an intraluminal clot was observed in the left internal carotid artery, probably as a result of direct vessel injury during arterial ligature for hemostasis.
