Not everything is because of anaesthesia: pneumoencephalon vs ictus after neuraxial anaesthesia

Authors

  • Belen Bardisa de la Iglesia Adjunta Servicio de Anestesiología y Reanimación Hospital Francesc de Borja. Gandía, Valencia.
  • Amanda Miñana Moll Adjunta Servicio de Anestesiología y Reanimación Hospital Francesc de Borja. Gandía, Valencia.
  • Carmen Ivars Párraga Adjunta Servicio de Anestesiología y Reanimación Hospital Francesc de Borja. Gandía, Valencia.
  • Maria Ángeles Soldado Matoses Adjunta Servicio de Anestesiología y Reanimación Hospital Francesc de Borja. Gandía, Valencia.
  • Sofía Machado Ortiz Adjunta Servicio de Anestesiología y Reanimación Hospital Francesc de Borja. Gandía, Valencia.

DOI:

https://doi.org/10.30445/rear.v10i10.661

Keywords:

pneumoencephalon, complications, Anaesthesia, ictus cerebral

Abstract

Although neurological complications due to anaesthesic neuraxial techniques are rare, its potential seriousness is a concern for patients and for proffesionals as well.
The appearance of an neurological alteration in postoperative period tends to be considered as iatrogenic, which in some cases may make difficult the right diagnosis.
Here we have a case with a patient treated with a epidural subarachnoid combined techique, which happened to present neurological focal shortage 24 hours after assistance. CT highlighted as radiologic finding minimal pneumoencephalon focus, which made symptomatology wrongly attributed to an anaesthesia complication. In later control CT a compatible ischaemic región with neurological clinical advise could be seen.
In the presence of side neurological effects in post operative period, is essential to perform a careful evaluation, evaluating all possible reasons before considering as iatrogenic.

References

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Published

2020-09-10

How to Cite

Bardisa de la Iglesia, B., Miñana Moll, A., Ivars Párraga, C., Soldado Matoses, M. Ángeles, & Machado Ortiz, S. (2020). Not everything is because of anaesthesia: pneumoencephalon vs ictus after neuraxial anaesthesia. Revista Electrónica AnestesiaR, 10(10), 2. https://doi.org/10.30445/rear.v10i10.661

Issue

Vol. 10 No. 10 (2018): Revista Electrónica de AnestesiaR

Section

Clinical case reports

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Copyright (c) 2018 Revista Electrónica AnestesiaR

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