Subarachnoid hemorrhage as complication of phenylephrine injection for the treatment of ischemic priapism in a sickle cell disease patient
| Autor: | J. Christopher Webster, Jorge L. Lockhart, Justin Parker, Hugo H. Davila, Rafael Carrion |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Subarachnoid hemorrhage Urology Endocrinology Diabetes and Metabolism Priapism Analgesic Ischemia Anemia Sickle Cell Phenylephrine Endocrinology medicine Humans business.industry Subarachnoid Hemorrhage medicine.disease Surgery Psychiatry and Mental health medicine.anatomical_structure Blood pressure Treatment Outcome Reproductive Medicine Anesthesia Complication business Adrenergic alpha-Agonists Penis medicine.drug |
| Zdroj: | The journal of sexual medicine. 5(4) |
| ISSN: | 1743-6109 |
| Popis: | Introduction Ischemic priapism (IP) is a urologic condition, which necessitates prompt management. Intracavernosal injection of phenylephrine is a usual treatment modality utilized for the management of these patients. Aim We present a case of subarachnoid hemorrhage following intracavernosal injection of phenylephrine for IP in a patient with sickle cell disease. Methods We analyzed the degree of subarachnoid hemorrhage in our patient after intracavernosal injection of phenylephrine. The patient had an acute rise in blood pressure during corporal irrigation. This was followed by the onset of severe headache. Computed tomography (CT) scan confirmed the diagnosis of a subarachnoid hemorrhage. Main Outcome Measure Subarachnoid hemorrhage associated with intracavernosal injection of phenylephrine. Result A 23-year-old African American male with a history of sickle cell disease presented with a painful penile erection. The patient was started on intravenous fluids, oxygen by nasal canula, and analgesic medication. After this, a blood gas was obtained from his left corpora cavernosa. This was followed by normal saline irrigation and injection of phenylephrine. The patient complained of a sudden, severe “terrible headache” immediately following the last injection, and noncontrast CT scan of the head was obtained and a subarachnoid hemorrhage was noted. The patient was admitted for observation and no significant changes were noted. Conclusions Intracavernosal injection of phenylephrine for the management of IP can be associated with several possible complications. We present our single case complicated with the formation of a subarachnoid hemorrhage. The patient was treated conservatively and had no long-term neurologic sequelae. Davila HH, Parker J, Webster JC, Lockhart JL, and Carrion RE. Subarachnoid hemorrhage as complication of phenylephrine injection for the treatment of ischemic priapism in a sickle cell disease patient. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text