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KMID : 1155520110060030266
Anesthesia and Pain Medicine
2011 Volume.6 No. 3 p.266 ~ p.269
Cerebral hemorrhage presenting as alteration of consciousness during the anesthesia recovery period -A case report-
Min Doo-Jae

Kim Woon-Young
Lee Se-Hwa
Kim Jae-Hwan
Park Young-Cheol
Abstract
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.
KEYWORD
Anesthesia recovery period, Cerebral hemorrhage, Consciousness Disorder, Spontaneous rupture
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