Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation
Joint Authors
Zhang, Junjie
Zhang, Chengliang
Yan, Jianqin
Source
Case Reports in Neurological Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Massive cerebral and spinal gas embolism occurs rarely as a complication of discectomy.
We report a 54-year-old female who had undergone a discectomy (L3/4 and L4/5) under epidural anesthesia in a local hospital developed multiple massive gas embolisms.
At closure, surgeons irrigated the incision wound with hydrogen peroxide.
Soon after the irrigation, the patient suddenly developed tachycardia, hypotension, and rapid oxygen desaturation.
Subsequently, patient progressed into unconsciousness and right hemianopsia quadriplegia.
Computed tomography (CT) scan showed multiple hypointensity spots around the brain due to cerebral gas embolism, which indicated the pneumoencephalos.
The likely mechanism was the absorption of hydrogen peroxide into blood.
When the amount of oxygen evolved exceeded its maximal blood solubility, venous embolization occurred.
Though the patient was treated with supportive treatments and hyperbaric oxygen, she did not get full recovery and was left with severe long-term cerebral injury.
American Psychological Association (APA)
Zhang, Junjie& Zhang, Chengliang& Yan, Jianqin. 2015. Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation. Case Reports in Neurological Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059039
Modern Language Association (MLA)
Zhang, Junjie…[et al.]. Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation. Case Reports in Neurological Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059039
American Medical Association (AMA)
Zhang, Junjie& Zhang, Chengliang& Yan, Jianqin. Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation. Case Reports in Neurological Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059039
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059039