Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000400388 |
Resumo: | Abstract We report a case of a 72 year old hypertensive male who developed severe hypertension followed by neurological deterioration in the immediate postoperative period after transurethral resection of prostate. While arterial blood gas and laboratory tests excluded transurethral resection of prostate syndrome or any other metabolic cause, reduction of blood pressure failed to ameliorate the symptoms. A cranial CT done 4 hours after the onset of neurological symptoms revealed bilateral gangliocapsular and right thalamic infarcts. Oral aspirin was advised to prevent early recurrent stroke. Supportive treatment and mechanical ventilation ensured physiological stability and the patient recovered completely over the next few days without any residual neurological deficit. |
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Revista Brasileira de Anestesiologia (Online) |
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Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save livesTransurethral resection of prostatePerioperative periodStrokeHypertensionNeurologic manifestationsUnconsciousnessAbstract We report a case of a 72 year old hypertensive male who developed severe hypertension followed by neurological deterioration in the immediate postoperative period after transurethral resection of prostate. While arterial blood gas and laboratory tests excluded transurethral resection of prostate syndrome or any other metabolic cause, reduction of blood pressure failed to ameliorate the symptoms. A cranial CT done 4 hours after the onset of neurological symptoms revealed bilateral gangliocapsular and right thalamic infarcts. Oral aspirin was advised to prevent early recurrent stroke. Supportive treatment and mechanical ventilation ensured physiological stability and the patient recovered completely over the next few days without any residual neurological deficit.Sociedade Brasileira de Anestesiologia2018-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000400388Revista Brasileira de Anestesiologia v.68 n.4 2018reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2016.05.003info:eu-repo/semantics/openAccessNag,Deb SanjayChatterjee,AbhishekSamaddar,Devi PrasadAgarwal,Ajayeng2018-07-23T00:00:00Zoai:scielo:S0034-70942018000400388Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2018-07-23T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives |
title |
Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives |
spellingShingle |
Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives Nag,Deb Sanjay Transurethral resection of prostate Perioperative period Stroke Hypertension Neurologic manifestations Unconsciousness |
title_short |
Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives |
title_full |
Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives |
title_fullStr |
Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives |
title_full_unstemmed |
Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives |
title_sort |
Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives |
author |
Nag,Deb Sanjay |
author_facet |
Nag,Deb Sanjay Chatterjee,Abhishek Samaddar,Devi Prasad Agarwal,Ajay |
author_role |
author |
author2 |
Chatterjee,Abhishek Samaddar,Devi Prasad Agarwal,Ajay |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Nag,Deb Sanjay Chatterjee,Abhishek Samaddar,Devi Prasad Agarwal,Ajay |
dc.subject.por.fl_str_mv |
Transurethral resection of prostate Perioperative period Stroke Hypertension Neurologic manifestations Unconsciousness |
topic |
Transurethral resection of prostate Perioperative period Stroke Hypertension Neurologic manifestations Unconsciousness |
description |
Abstract We report a case of a 72 year old hypertensive male who developed severe hypertension followed by neurological deterioration in the immediate postoperative period after transurethral resection of prostate. While arterial blood gas and laboratory tests excluded transurethral resection of prostate syndrome or any other metabolic cause, reduction of blood pressure failed to ameliorate the symptoms. A cranial CT done 4 hours after the onset of neurological symptoms revealed bilateral gangliocapsular and right thalamic infarcts. Oral aspirin was advised to prevent early recurrent stroke. Supportive treatment and mechanical ventilation ensured physiological stability and the patient recovered completely over the next few days without any residual neurological deficit. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000400388 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000400388 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2016.05.003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.68 n.4 2018 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
_version_ |
1752126630024708096 |