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Reye's syndrome presents as acute central nervous system and liver dysfunction in children. Its incidence has seen a sharp decline in parallel with the decline in the use of aspirin in the pediatric age group. This report describes a patient with Reye's syndrome and serves as a reminder for health professionals to continue to discourage the use of aspirin for the treatment of viral infections. 相似文献
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Hemanshu Prabhakar Zulfiqar Ali Neelofar Hassan Edmund J. Moses 《Journal of clinical anesthesia》2010,22(4):280-281
A case of low baseline bispectral index (BIS) values in a patient undergoing cerebral angiography followed by coil embolization of a basilar artery aneurysm is presented. A generalized cortical hypoperfusion was observed on angiography, suggestive of vasculitis. This finding was the cause of the low BIS values. 相似文献
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Zulfiqar Ali Hemanshu Prabhakar Parmod K. Bithal Hari H. Dash 《Journal of anesthesia》2009,23(3):358-362
Purpose Frameless stereotactic neurosurgery is increasingly being used for the biopsy of intracranial tumors and the resection of
deep-seated lesions where reliance on surface anatomic landmarks can be misleading, as well as in movement disorders, psychiatric
disorders, seizure disorders, and chronic refractory pain. Nascent biological approaches, including gene therapy and stem-cell
and tissue transplants for movement disorders, also utilize neuronavigational techniques. These procedures are complex and
involve understanding of the basic principles and factors affecting neuronavigation. The procedure may appear to be simple,
but serious complications may occur.
Methods The purpose of this study was to review the intraoperative and postoperative complications occurring during frameless stereotaxy
at our institution from January 2003 to July 2007.
Results Seventy-eight patients underwent various neurosurgical procedures under general anesthesia. Intraoperative complications seen
were intraoperative brain bulge (n = 3), seizures (n = 3), failure to extubate (n = 4), and fresh neurodeficits (n = 6). No hemodynamic disturbances such as hypertension or hypotension or bradycardia or tachycardia requiring active intervention
were observed.
Conclusion Awareness and vigilance can help in the early identification and better management of the above intraoperative complications. 相似文献
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Shabina Ariff Sajid B Soofi Kamran Sadiq Asher B Feroze Shuaib Khan Sadiqua N Jafarey Nabeela Ali Zulfiqar A Bhutta 《BMC health services research》2010,10(1):319