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A Case Report of Thalamic Infarction after Lumbar Drain: A Unique Cause of Perioperative Stroke?
Joint Authors
Lam, Arthur M.
Kianpour, Daniel N.
Nguyen, Thomas M.
Source
Case Reports in Anesthesiology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-06-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
In the case presented, a patient has an unexplained episode of hypertension during aneurysm clipping.
Following the procedure, the patient was discovered to have bilateral thalamic infarctions unrelated to the vascular location of the aneurysm.
After a review of the case, it becomes apparent that intracranial hypotension caused by lumbar over drainage of cerebrospinal fluid (CSF) is the likely cause of both the episode of intraoperative hypertension and the thalamic infarcts.
It is often presumed that having an open dura protects against intracranial hypotension and subsequent herniation.
We present this case to suggest that opening the dura might not be protective in all cases and anesthesiologists must pay particular attention to the rate of CSF drainage.
Lumbar CSF drainage is a technique frequently employed during neurological surgery and it is important for anesthesiologists to understand the signs, symptoms, and potential consequences of intracranial hypotension from rapid drainage.
American Psychological Association (APA)
Kianpour, Daniel N.& Nguyen, Thomas M.& Lam, Arthur M.. 2019. A Case Report of Thalamic Infarction after Lumbar Drain: A Unique Cause of Perioperative Stroke?. Case Reports in Anesthesiology،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1133501
Modern Language Association (MLA)
Kianpour, Daniel N.…[et al.]. A Case Report of Thalamic Infarction after Lumbar Drain: A Unique Cause of Perioperative Stroke?. Case Reports in Anesthesiology No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1133501
American Medical Association (AMA)
Kianpour, Daniel N.& Nguyen, Thomas M.& Lam, Arthur M.. A Case Report of Thalamic Infarction after Lumbar Drain: A Unique Cause of Perioperative Stroke?. Case Reports in Anesthesiology. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1133501
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133501