Cerebral hemorrhage presenting as alteration of consciousness during the anesthesia recovery period: A case report.
- Author:
Doo Jae MIN
1
;
Woon Young KIM
;
Sehwa LEE
;
Yoon Sook LEE
;
Jae Hwan KIM
;
Young Cheol PARK
Author Information
1. Department of Anesthesiology and Pain Medicine, Ansan Hospital of Korea University, Ansan, Korea. ckssis@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Anesthesia recovery period;
Cerebral hemorrhage;
Consciousness Disorder;
Spontaneous rupture
- MeSH:
Alcohol Drinking;
Anesthesia;
Anesthesia Recovery Period;
Cerebral Hemorrhage;
Consciousness;
Consciousness Disorders;
Diagnosis, Differential;
Humans;
Hypertension;
Middle Aged;
Orthopedics;
Rupture, Spontaneous;
Smoke;
Smoking
- From:Anesthesia and Pain Medicine
2011;6(3):266-269
- CountryRepublic of Korea
- Language:English
-
Abstract:
Catastrophic neurological events can occur rarely in anesthetic recovery period and they must be quickly diagnosed. We report here on a spontaneous intracerebral hemorrhage (SICH) that developed during the anesthesia recovery period in a 52-year-old man who had undergone uneventful orthopedic surgery. He had predisposing factors including 25 year history of heavy alcohol consumption and smoking. The risk of spontaneous intracerebral hemorrhage following non-cardiovascular and non-neurovascular surgery is exceedingly small during the anesthesia recovery period, especially for a patient with no history of hypertension and coagulopathy. We also describe the differential diagnosis of an altered mental status that occurs during anesthetic recovery period.
