KMID : 1155520110060030266
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Anesthesia and Pain Medicine 2011 Volume.6 No. 3 p.266 ~ p.269
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Cerebral hemorrhage presenting as alteration of consciousness during the anesthesia recovery period -A case report-
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Min Doo-Jae
Kim Woon-Young Lee Se-Hwa Kim Jae-Hwan Park Young-Cheol
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Abstract
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Catastrophic neurological events can occur rarely in anesthetic recovery period and they must be quickly diagnosed. We report here on a spontaneous intracerebral hemorrhage (SICH) that developed during the anesthesia recovery period in a 52-year-old man who had undergone uneventful orthopedic surgery. He had predisposing factors including 25 year history of heavy alcohol consumption and smoking. The risk of spontaneous intracerebral hemorrhage following non-cardiovascular and non-neurovascular surgery is exceedingly small during the anesthesia recovery period, especially for a patient with no history of hypertension and coagulopathy. We also describe the differential diagnosis of an altered mental status that occurs during anesthetic recovery period.
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KEYWORD
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Anesthesia recovery period, Cerebral hemorrhage, Consciousness Disorder, Spontaneous rupture
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