Anesth Pain Med.
2011 Jul;6(3):266-269.
Cerebral hemorrhage presenting as alteration of consciousness during the anesthesia recovery period: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Ansan Hospital of Korea University, Ansan, Korea. ckssis@korea.ac.kr
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.