Yonsei Med J.  1985 Dec;26(2):150-153. 10.3349/ymj.1985.26.2.150.

Intracerebral Hematoma after Surgical Correction of Strabismus

Affiliations
  • 1Department Anesthesiology, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 2Department Neurosugery, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 3Department Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.

Abstract

Most patients with strabismus are in good health. However, the incidence of strabismus is high in patients with central nervous system dysfunction and musculoskeletal abnormalities. Authors report one case of intracerebral hematoma due to bleeding from an intracranial arteriovenous malformation after a surgical correction of strabismus under general endotracheal anesthesia. The initial operation and postoperative course of this case were uneventful except for several episodes of nausea and vomiting, continuing hours after the operation. Twenty-four hours after the operation, the patient showed a stuporous mental state and right-sided hemiplegia. A brain C-T scan and carotid angiography revealed an intracerebral hematoma with small-sized vascular abnormalities in the frontoparietal region on the left side. Following an emergency evacuation of the hematoma and removal of the malformed vessels, the patient showed progressive improvement.

Keyword

Strabismus; intracerebral hematoma; arteriovenous malformation

MeSH Terms

Cerebral Hemorrhage/etiology*
Child
Female
Hematoma/etiology*
Human
Intracranial Arteriovenous Malformations/complications
Postoperative Complications*
Rupture, Spontaneous
Strabismus/surgery*
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