脊柱手术后并发短暂性术后失明的后部可逆性脑病综合征

IF 0.2 Q4 ANESTHESIOLOGY Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-10-24 DOI:10.1055/s-0041-1731919

M. Arasu, Srinivasan Swaminathan, Balaji Kannamani, L. Elakkumanan

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引用次数: 2

摘要

术后视力丧失(POVL)不仅对患者而且对麻醉医师都是毁灭性的。后路可逆性脑病综合征(PRES)是一种罕见且可治疗的POVL病因，主要见于快速血流动力学扰动、内皮功能障碍和大容量复苏。1,2据我们所知，在短暂的3分钟急性高血压和大量输血后，没有出现PRES的报告。一个

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Posterior Reversible Encephalopathy Syndrome Causing Transient Postoperative Blindness Following Spine Surgery

Postoperative vision loss (POVL) is devastating not only for the patient but also for the anesthesiologist. Posterior reversible encephalopathy syndrome (PRES) is an infrequent and treatable cause of POVL, which is reported predominantly in rapid hemodynamic perturbations, endothelial dysfunction, and massive volume resuscitation. 1,2 To our knowledge, there are no reported cases of PRES following acute hypertension for a brief duration of 3 minutes and massive transfusion. A

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