Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease -A case report-
A 6-year-old male patient who was suffering from a cold and a transient ischemic attack was scheduled to undergo encephalo-duro-arterio-synangiosis for treating his moyamoya disease. Acute brain edema occurred just after opening the dura mater. Head elevation, reduction of the head rotation and hype...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2010-12-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-59-S191.pdf |
| _version_ | 1819211985098637312 |
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| author | Ji-Sung Nho Soo-Eun Choi Jae-Woo Yi Jong-Man Kang |
| author_facet | Ji-Sung Nho Soo-Eun Choi Jae-Woo Yi Jong-Man Kang |
| author_sort | Ji-Sung Nho |
| collection | DOAJ |
| description | A 6-year-old male patient who was suffering from a cold and a transient ischemic attack was scheduled to undergo encephalo-duro-arterio-synangiosis for treating his moyamoya disease. Acute brain edema occurred just after opening the dura mater. Head elevation, reduction of the head rotation and hyperventilation were done. The inhalational agents were discontinued and total intravenous anesthesia was started. The swelling was reduced after intravenously infusing mannitol. An abrupt return from hypocapnia to normocapnea during the induction of general anesthesia was thought to be the cause of the acute brain swelling. In conclusion, correction of hypocapnea needs to be performed gradually during the induction of anesthesia and when performing an operation for treating a patient with moyamoya disease. |
| first_indexed | 2024-12-23T06:35:46Z |
| format | Article |
| id | doaj.art-c76e0926e2464c1e9b4c5a6f8c10c0a3 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-23T06:35:46Z |
| publishDate | 2010-12-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-c76e0926e2464c1e9b4c5a6f8c10c0a32022-12-21T17:56:48ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-12-0159SupplS191S19310.4097/kjae.2010.59.S.S1917036Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease -A case report-Ji-Sung Nho0Soo-Eun Choi1Jae-Woo Yi2Jong-Man Kang3Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University, Hospital at Gangdong, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University, Hospital at Gangdong, Seoul, Korea.A 6-year-old male patient who was suffering from a cold and a transient ischemic attack was scheduled to undergo encephalo-duro-arterio-synangiosis for treating his moyamoya disease. Acute brain edema occurred just after opening the dura mater. Head elevation, reduction of the head rotation and hyperventilation were done. The inhalational agents were discontinued and total intravenous anesthesia was started. The swelling was reduced after intravenously infusing mannitol. An abrupt return from hypocapnia to normocapnea during the induction of general anesthesia was thought to be the cause of the acute brain swelling. In conclusion, correction of hypocapnea needs to be performed gradually during the induction of anesthesia and when performing an operation for treating a patient with moyamoya disease.http://ekja.org/upload/pdf/kjae-59-S191.pdfbrain edemacerebral revascularizationmannitolmoyamoya disease |
| spellingShingle | Ji-Sung Nho Soo-Eun Choi Jae-Woo Yi Jong-Man Kang Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease -A case report- Korean Journal of Anesthesiology brain edema cerebral revascularization mannitol moyamoya disease |
| title | Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease -A case report- |
| title_full | Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease -A case report- |
| title_fullStr | Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease -A case report- |
| title_full_unstemmed | Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease -A case report- |
| title_short | Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease -A case report- |
| title_sort | intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease a case report |
| topic | brain edema cerebral revascularization mannitol moyamoya disease |
| url | http://ekja.org/upload/pdf/kjae-59-S191.pdf |
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