التفاصيل البيبلوغرافية
| العنوان: |
Refractory hypotension in post-operative setting with raised intracranial pressure: insula at play? |
| المؤلفون: |
Sharma, Manish1 manish_dwl@yahoo.com, Kumar, Anil1, Sinha, Deependra Kumar1, Talwar, Rajnish1 |
| المصدر: |
British Journal of Neurosurgery. Dec2023, Vol. 37 Issue 6, p1738-1741. 4p. |
| مصطلحات موضوعية: |
*INTRACRANIAL pressure, *MYELOGRAPHY, *INSULAR cortex, *HYPOTENSION, *REFRACTORY materials, *CEREBRAL arteries |
| مستخلص: |
Raised Intra-Cranial Pressure causes hypertension. We report a 75 years old lady with large Middle Cerebral Artery bifurcation aneurysm that was operated on. Post-operatively she had a progressive hypotension that was refractory to inotropes and became life threatening. There was subgaleal, extradural and subdural collection of Cerebro-Spinal Fluid. Drainage of this collection led to immediate complete recovery from hypotension, normalization of tachycardia and improvement in sensorium within 4 hours. Raised Intra-Cranial Pressure can manifest with hypotension and tachycardia if the right insula has been exposed. Removal of the irritant can lead to rapid and complete recovery. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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