Intracerebral Hemorrhage after Vesicolitholapaxy under Spinal Anesthesia: A case report.
10.4097/kjae.2006.51.3.379
- Author:
Eun Jin KIM
1
;
In Young CHANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gil519@lycos.co.kr
- Publication Type:Case Report
- Keywords:
intracerebral hemorrhage;
midazolam sedation;
spinal anesthesia
- MeSH:
Aged, 80 and over;
Anesthesia;
Anesthesia, Spinal*;
Brain;
Cerebral Hemorrhage*;
Consciousness;
Dementia;
Emergencies;
Hematoma;
Humans;
Midazolam
- From:Korean Journal of Anesthesiology
2006;51(3):379-382
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intracerebral hemorrhage is a rare complication of spinal anesthesia. We report a case in a 83-year-old man with a history of Alzheimer dementia who underwent vesicolitholapaxy with spinal anesthesia and midazolam sedation. Until 1 hour after the end of anesthesia and operation he did not regain his consciousness. Immediate computerized tomogram of brain revealed a left frontal intracerebral hemorrhage. An emergency craniectomy was performed to remove the hematoma. Patients with prolonged recovery of consciousness after spinal anesthesia with midazolam sedation require neurologic and radiologic monitoring to rule out the possibility of intracranial complications.
