scholarly journals An unusual case of repeated venous air embolism during awake bilateral deep brain stimulation surgery

2016 ◽  
Vol 22 (6) ◽  
pp. 198-200
Author(s):  
WMN Wan Hassan ◽  
BT Yeap ◽  
L Ab Mukmin ◽  
ARI Ghani ◽  
RH Mohd Zaini
2005 ◽  
Vol 83 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Anupa Deogaonkar ◽  
Rafi Avitsian ◽  
Jaimie M. Henderson ◽  
Armin Schubert

2010 ◽  
Vol 152 (12) ◽  
pp. 2047-2052 ◽  
Author(s):  
Jules M. Nazzaro ◽  
Kelly E. Lyons ◽  
Robyn A. Honea ◽  
Matthew S. Mayo ◽  
Galen Cook-Wiens ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Ha Son Nguyen ◽  
Harvey Woehlck ◽  
Peter Pahapill

Background. Symptomatic bradycardia and hypotension in neurosurgery can produce severe consequences if not managed appropriately. The literature is scarce regarding its occurrence during deep brain stimulation (DBS) surgery.Case Presentation. A 67-year-old female presented for left DBS lead placement for essential tremors. During lead implantation, heart rate and blood pressure dropped rapidly; the patient became unresponsive and asystolic. Chest compressions were initiated and epinephrine was given. Within 30 seconds, the patient became hemodynamically stable and conscious. A head CT demonstrated no acute findings. After deliberation, a decision was made to complete the procedure. Assuming the etiology of the episode was the Bezold-Jarisch reflex (BJR), appropriate accommodations were made. The procedure was completed uneventfully.Conclusion. The episode was consistent with a manifestation of the BJR. The patient had a history of neurocardiogenic syncope and a relatively low-volume state, factors prone to the BJR. Overall, lead implantation can still occur safely if preventive measures are employed.


2008 ◽  
Vol 87 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Amanda K. Hooper ◽  
Michael S. Okun ◽  
Kelly D. Foote ◽  
Ihtsham U. Haq ◽  
Hubert H. Fernandez ◽  
...  

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