Awake Craniotomy for Cerebral Abscess with Pulmonary Arteriovenous Malformation
Autor: | Saloni K. Shah, Anita Shetty, Dhairal Mehta |
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Jazyk: | angličtina |
Rok vydání: | 2023 |
Předmět: | |
Zdroj: | Journal of Neuroanaesthesiology and Critical Care, Vol 10, Iss 02, Pp 109-111 (2023) |
Druh dokumentu: | article |
ISSN: | 2348-0548 2348-926X |
DOI: | 10.1055/s-0042-1756432 |
Popis: | A cerebral abscess can be a life-threatening complication of pulmonary arteriovenous malformations (PAVM), thus posing significant morbidity if left untreated. We report a case of an incidental finding of a PAVM in a patient diagnosed with cerebral abscess. A 22-year-old male presented to the emergency department with acute onset right-sided weakness in both upper and lower limbs for 1 week. Magnetic resonance imaging showed a ring-enhancing lesion within the left parasagittal frontoparietal region s/o intracerebral abscess. High-resolution computed tomography was done as a protocol in patients posted for surgery due to coronavirus disease 2019 and coincidentally, it showed a single well-defined parenchymal nodule, 4 × 3.4 cm in the lateral basal segment of the left lower lobe. The knowledge of the pathophysiology of PAVM and expected complications during general anesthesia (GA) and positive pressure mechanical ventilation is essential. In such conditions, awake craniotomy under conscious sedation and scalp block may be considered as an alternative to GA. |
Databáze: | Directory of Open Access Journals |
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