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Perioperative stroke following transurethral resection of prostate: high index of suspicion and stabilization of physiological parameters can save lives / Acidente vascular cerebral no perioperatório após ressecção transuretral de próstata: alto índice de suspeita e estabilização de parâmetros fisiológicos podem salvar vidas
Nag, Deb Sanjay; Chatterjee, Abhishek; Samaddar, Devi Prasad; Agarwal, Ajay.
  • Nag, Deb Sanjay; Tata Main Hospital. Department of Anesthesiology & Critical Care. Jamshedpur. IN
  • Chatterjee, Abhishek; Tata Main Hospital. Department of Anesthesiology & Critical Care. Jamshedpur. IN
  • Samaddar, Devi Prasad; Tata Main Hospital. Department of Anesthesiology & Critical Care. Jamshedpur. IN
  • Agarwal, Ajay; Tata Main Hospital. Department of Urology. Jamshedpur. IN
Rev. bras. anestesiol ; 68(4): 388-391, July-Aug. 2018.
Article in English | LILACS | ID: biblio-958317
ABSTRACT
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.
RESUMO
Resumo Relatamos o caso de um paciente hipertenso, 72 anos, que desenvolveu hipertensão grave seguida de deterioração neurológica no pós-operatório imediato após ressecção transuretral de próstata. Embora os testes laboratoriais e a gasometria tenham excluído a síndrome de ressecção transuretral de próstata ou qualquer outra causa metabólica, a diminuição da pressão sanguínea não conseguiu melhorar os sintomas. Uma tomografia computadorizada craniana, realizada 4 horas após o aparecimento de sintomas neurológicos, revelou infartos gangliocapsular bilateral e talâmico à direita. AAS oral foi aconselhado para prevenir um acidente vascular cerebral recorrente precoce. O tratamento de apoio e a ventilação mecânica garantiram a estabilidade fisiológica e o paciente obteve recuperação completa durante os próximos dias, sem qualquer déficit neurológico residual.
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Full text: Available Index: LILACS (Americas) Main subject: Stroke / Transurethral Resection of Prostate / Perioperative Period / Hypertension Type of study: Diagnostic study Limits: Aged / Humans / Male Language: English Journal: Rev. bras. anestesiol Journal subject: Anesthesiology Year: 2018 Type: Article Affiliation country: India Institution/Affiliation country: Tata Main Hospital/IN

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Full text: Available Index: LILACS (Americas) Main subject: Stroke / Transurethral Resection of Prostate / Perioperative Period / Hypertension Type of study: Diagnostic study Limits: Aged / Humans / Male Language: English Journal: Rev. bras. anestesiol Journal subject: Anesthesiology Year: 2018 Type: Article Affiliation country: India Institution/Affiliation country: Tata Main Hospital/IN