Document Detail

Intracerebral hemorrhage following enucleation: a result of surgery or anesthesia?--A case report.
MedLine Citation:
PMID:  17094536     Owner:  NLM     Status:  MEDLINE    
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.
Didem Dal; Aydin Erden; Fatma Saricaoğlu; Ulku Aypar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Middle East journal of anaesthesiology     Volume:  18     ISSN:  0544-0440     ISO Abbreviation:  Middle East J Anaesthesiol     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-11-10     Completed Date:  2007-03-01     Revised Date:  2014-10-10    
Medline Journal Info:
Nlm Unique ID:  8604187     Medline TA:  Middle East J Anaesthesiol     Country:  Lebanon    
Other Details:
Languages:  eng     Pagination:  965-70     Citation Subset:  IM    
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MeSH Terms
Anesthesia / adverse effects*
Cardiovascular Diseases / complications
Cerebral Hemorrhage / diagnosis,  etiology*,  surgery
Choroid Neoplasms / complications,  surgery*
Confusion / etiology
Eye Enucleation / adverse effects*
Fatal Outcome
Hypertension / complications
Intracranial Hemorrhage, Traumatic / etiology,  surgery
Intubation, Intratracheal / adverse effects
Melanoma / complications,  surgery*
Postoperative Complications / etiology,  surgery
Risk Factors
Tomography, X-Ray Computed

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