Cardiac arrest due to intracranial hypotension following pseudohypoxic brain swelling induced by negative suction drainage in a cranioplasty patient: a case report
Pseudohypoxic brain swelling (PHBS) is known to be an uncommon event that may occur during and following an uneventful brain surgery, when negative suction drainage is used. The cerebrospinal fluid loss related to suction drainage can evoke intracranial hypotension that progress to PHBS. The main pr...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Anesthesiologists
2016-06-01
|
| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-69-292.pdf |
| _version_ | 1818348697020268544 |
|---|---|
| author | Hyun-Soo Moon Soo Kyung Lee Su Ryun Kim Seon Ju Kim |
| author_facet | Hyun-Soo Moon Soo Kyung Lee Su Ryun Kim Seon Ju Kim |
| author_sort | Hyun-Soo Moon |
| collection | DOAJ |
| description | Pseudohypoxic brain swelling (PHBS) is known to be an uncommon event that may occur during and following an uneventful brain surgery, when negative suction drainage is used. The cerebrospinal fluid loss related to suction drainage can evoke intracranial hypotension that progress to PHBS. The main presentations of PHBS are sudden unexpected circulatory collapses, such as severe bradycardia, hypotension, cardiac arrest, consciousness deterioration and diffuse brain swelling as seen with brain computerized tomography (CT). We present a stuporous 22-year-old patient who underwent cranioplasty under general anesthesia. The entire course of the general anesthesia and operation progressed favorably. However, the time of scalp suture completion, sudden bradycardia and hypotension occurred, followed by cardiac arrest immediately after initiation of subgaleal and epidural suction drainage. After successful resuscitation, the comatose patient was transferred to the neurosurgical intensive care unit and PHBS was confirmed using brain CT. |
| first_indexed | 2024-12-13T17:54:10Z |
| format | Article |
| id | doaj.art-2a146cd3ddf841adb1a9af1084944938 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-13T17:54:10Z |
| publishDate | 2016-06-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-2a146cd3ddf841adb1a9af10849449382022-12-21T23:36:25ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632016-06-0169329229510.4097/kjae.2016.69.3.2928185Cardiac arrest due to intracranial hypotension following pseudohypoxic brain swelling induced by negative suction drainage in a cranioplasty patient: a case reportHyun-Soo Moon0Soo Kyung Lee1Su Ryun Kim2Seon Ju Kim3Department of Anesthesiology and Pain Medicine, Hallym University College of Medicine, Anyang, Korea.Department of Anesthesiology and Pain Medicine, Hallym University College of Medicine, Anyang, Korea.Department of Anesthesiology and Pain Medicine, Hallym University College of Medicine, Anyang, Korea.Department of Anesthesiology and Pain Medicine, Hallym University College of Medicine, Anyang, Korea.Pseudohypoxic brain swelling (PHBS) is known to be an uncommon event that may occur during and following an uneventful brain surgery, when negative suction drainage is used. The cerebrospinal fluid loss related to suction drainage can evoke intracranial hypotension that progress to PHBS. The main presentations of PHBS are sudden unexpected circulatory collapses, such as severe bradycardia, hypotension, cardiac arrest, consciousness deterioration and diffuse brain swelling as seen with brain computerized tomography (CT). We present a stuporous 22-year-old patient who underwent cranioplasty under general anesthesia. The entire course of the general anesthesia and operation progressed favorably. However, the time of scalp suture completion, sudden bradycardia and hypotension occurred, followed by cardiac arrest immediately after initiation of subgaleal and epidural suction drainage. After successful resuscitation, the comatose patient was transferred to the neurosurgical intensive care unit and PHBS was confirmed using brain CT.http://ekja.org/upload/pdf/kjae-69-292.pdfbrain swellingcirculatory collapsesuction drainage |
| spellingShingle | Hyun-Soo Moon Soo Kyung Lee Su Ryun Kim Seon Ju Kim Cardiac arrest due to intracranial hypotension following pseudohypoxic brain swelling induced by negative suction drainage in a cranioplasty patient: a case report Korean Journal of Anesthesiology brain swelling circulatory collapse suction drainage |
| title | Cardiac arrest due to intracranial hypotension following pseudohypoxic brain swelling induced by negative suction drainage in a cranioplasty patient: a case report |
| title_full | Cardiac arrest due to intracranial hypotension following pseudohypoxic brain swelling induced by negative suction drainage in a cranioplasty patient: a case report |
| title_fullStr | Cardiac arrest due to intracranial hypotension following pseudohypoxic brain swelling induced by negative suction drainage in a cranioplasty patient: a case report |
| title_full_unstemmed | Cardiac arrest due to intracranial hypotension following pseudohypoxic brain swelling induced by negative suction drainage in a cranioplasty patient: a case report |
| title_short | Cardiac arrest due to intracranial hypotension following pseudohypoxic brain swelling induced by negative suction drainage in a cranioplasty patient: a case report |
| title_sort | cardiac arrest due to intracranial hypotension following pseudohypoxic brain swelling induced by negative suction drainage in a cranioplasty patient a case report |
| topic | brain swelling circulatory collapse suction drainage |
| url | http://ekja.org/upload/pdf/kjae-69-292.pdf |
| work_keys_str_mv | AT hyunsoomoon cardiacarrestduetointracranialhypotensionfollowingpseudohypoxicbrainswellinginducedbynegativesuctiondrainageinacranioplastypatientacasereport AT sookyunglee cardiacarrestduetointracranialhypotensionfollowingpseudohypoxicbrainswellinginducedbynegativesuctiondrainageinacranioplastypatientacasereport AT suryunkim cardiacarrestduetointracranialhypotensionfollowingpseudohypoxicbrainswellinginducedbynegativesuctiondrainageinacranioplastypatientacasereport AT seonjukim cardiacarrestduetointracranialhypotensionfollowingpseudohypoxicbrainswellinginducedbynegativesuctiondrainageinacranioplastypatientacasereport |