Delayed emergence from anaesthesia and bilateral mydriasis following bilateral pallidotomy

Pallidotomy is a surgical procedure done widely for Parkinson's disease and various dystonias refractory to medical treatment. The technique involves radiofrequency (RF) thermal coagulation of globus pallidus internus, either unilaterally or bilaterally. The technique has been shown to produce...

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Main Authors: Ankur Khandelwal, Mihir Prakash Pandia, Ritesh Lamsal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=6;spage=466;epage=469;aulast=Khandelwal
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author Ankur Khandelwal
Mihir Prakash Pandia
Ritesh Lamsal
author_facet Ankur Khandelwal
Mihir Prakash Pandia
Ritesh Lamsal
author_sort Ankur Khandelwal
collection DOAJ
description Pallidotomy is a surgical procedure done widely for Parkinson's disease and various dystonias refractory to medical treatment. The technique involves radiofrequency (RF) thermal coagulation of globus pallidus internus, either unilaterally or bilaterally. The technique has been shown to produce good success. However, the involvement of nearby vital structures can result in new post-operative complications. We encountered a case of delayed emergence from anaesthesia associated with bilateral mydriasis and visual field defects in a patient after bilateral RF thermal lesioning.
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spelling doaj.art-f7c4cee8932c4357909af597262b3b052022-12-21T22:58:46ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172018-01-0162646646910.4103/ija.IJA_27_18Delayed emergence from anaesthesia and bilateral mydriasis following bilateral pallidotomyAnkur KhandelwalMihir Prakash PandiaRitesh LamsalPallidotomy is a surgical procedure done widely for Parkinson's disease and various dystonias refractory to medical treatment. The technique involves radiofrequency (RF) thermal coagulation of globus pallidus internus, either unilaterally or bilaterally. The technique has been shown to produce good success. However, the involvement of nearby vital structures can result in new post-operative complications. We encountered a case of delayed emergence from anaesthesia associated with bilateral mydriasis and visual field defects in a patient after bilateral RF thermal lesioning.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=6;spage=466;epage=469;aulast=KhandelwalDystonic disordersmydriasispallidotomyvisual field defects
spellingShingle Ankur Khandelwal
Mihir Prakash Pandia
Ritesh Lamsal
Delayed emergence from anaesthesia and bilateral mydriasis following bilateral pallidotomy
Indian Journal of Anaesthesia
Dystonic disorders
mydriasis
pallidotomy
visual field defects
title Delayed emergence from anaesthesia and bilateral mydriasis following bilateral pallidotomy
title_full Delayed emergence from anaesthesia and bilateral mydriasis following bilateral pallidotomy
title_fullStr Delayed emergence from anaesthesia and bilateral mydriasis following bilateral pallidotomy
title_full_unstemmed Delayed emergence from anaesthesia and bilateral mydriasis following bilateral pallidotomy
title_short Delayed emergence from anaesthesia and bilateral mydriasis following bilateral pallidotomy
title_sort delayed emergence from anaesthesia and bilateral mydriasis following bilateral pallidotomy
topic Dystonic disorders
mydriasis
pallidotomy
visual field defects
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=6;spage=466;epage=469;aulast=Khandelwal
work_keys_str_mv AT ankurkhandelwal delayedemergencefromanaesthesiaandbilateralmydriasisfollowingbilateralpallidotomy
AT mihirprakashpandia delayedemergencefromanaesthesiaandbilateralmydriasisfollowingbilateralpallidotomy
AT riteshlamsal delayedemergencefromanaesthesiaandbilateralmydriasisfollowingbilateralpallidotomy