scholarly journals Kombinasi Dexmedetomidine – Sevoflurane 0,5 MAC pada Bedah Mikro Reseksi Malformasi Arteri-Vena

2021 ◽  
Vol 10 (2) ◽  
pp. 113-118
Author(s):  
Adhy Tjahyanto ◽  
◽  
Ibnu Siena Samdani ◽  
M. Sofyan Harahap

Arterio-venous malformation (AVM) is a rare case, particularly among young patients (<40 years old). Maintaining haemodynamic stability and anticipating massive haemorrhage during micro surgery resection of AVM are fundamental for an anaesthetist. Total Intra Venous Anesthesia using propofol is still popular to control intracranial pressure as it is easily titrated and fast acting agent (both in onset and duration). Moreover, general neuruologic evaluation soon after anesthesia terminated is an integral important component of microsurgery of brain MAV. In this case report: a 20-year-old woman suddenly lost her consciousness and left-sided motors strength. Brain angiographic revealed an AVM in right frontal lobe. Microsurgery of brain AVM resection was performed. After 5-minute-preoxygenation, anaesthetic induction was performed by using propofol, fentanyl, rocuronium, and sevoflurane. The surgery went successfully using a combination of dexmedetomidine-sevoflurane 0.5MAC. Post-anaesthesia hemodynamic of this patient was in stable and without new neurologic deficit afterward.

Lung India ◽  
2015 ◽  
Vol 32 (4) ◽  
pp. 384 ◽  
Author(s):  
KamaleshTagadur Nataraju ◽  
Tirthankar Mukherjee ◽  
Ramachandra PrabhuHosahalli Doddaiah ◽  
NageshGabbadi Nanjappa ◽  
Lakshmikanth Narasegowda

2020 ◽  
Vol 01 (04) ◽  
Author(s):  
Rosanna Mamone ◽  
Rocco Minelli ◽  
Maria G. Giagnorio ◽  
Sonia Tamasi ◽  
Eugenio Rossi ◽  
...  

Author(s):  
Harpal Singh Seemar ◽  
Anika Mittal ◽  
Ramandeep Kaur ◽  
Jasneet Kaur ◽  
Ramesh Kumar Kundal

2013 ◽  
Vol 6 (2) ◽  
pp. 135-138
Author(s):  
Nachko I. Totsev ◽  
Tihomir V. Andreev ◽  
Maya P. Danovska ◽  
Mladen E. Ovcharov

Summary The majority - over 80%, of arteriovenous malformations (AVMs) are supratentorial. The infratentorial AVM are uncommon and different from other intracranial AVMs in terms of history, diagnosis, treatment, prognosis, and follow up. The authors present a case of an intracranial hemorrhage, caused by rupture of an AVM in the posterior cranial fossa. Native (unenhanced) CT and computed tomography angiography (CTA) images of this rare location of AVM are presented.


1991 ◽  
Vol 27 (6) ◽  
pp. 796
Author(s):  
Yun Young Choi ◽  
Kyo Nam Kim ◽  
Heung Suk Seo

Author(s):  
Asha R. Iyengar ◽  
B. V. Subash ◽  
Shalini Dina Simon ◽  
M. H. Vani

2021 ◽  
pp. 1-4
Author(s):  
Serhat Yarar ◽  
Ilker Uyar ◽  
Mehmet Emin Cem Yildirim ◽  
Mehmet Dadacı ◽  
Bilsev Ince

Primary intraosseous vascular malformations (PIVMs) are rare intraosseous lesions, accounting for approximately 0.5–1% of all intraosseous tumours. In this case report, we aimed to present a rare case of intraosseous vascular malformation causing a large lytic area in the parietal bone. A 25-year-old male patient was admitted to the clinic with a mass on the parietal bone. On physical examination, it was observed that the hair density on the mass was decreased, the mass had a soft consistency, and there was no pain on palpation. The patient was operated under local anaesthesia with a provisional diagnosis of a trichilemmal cyst. However, intraoperative diagnosis was a vascular malformation. There was a 3-cm full-thickness defect on the parietal bone caused by the lesion. The mass was excised completely while preserving the integrity of the dura. The resulting defect was reconstructed with bilateral rotation advancement flaps. The calvarial defect was not reconstructed due to equipment inadequacy. No complications were encountered in the postoperative period. Ninety-three PIVM cases have been reported in the skull since 1845. In very few of these cases, the mass is located in the parietal bone. The pathogenesis of PIVMs is not completely understood. The definitive diagnosis is made by histopathological examination. The therapeutic gold standard is surgery. Surgeons should keep in mind that radiological examination before the operation could prevent undesirable complications.


2001 ◽  
Vol 94 (4) ◽  
pp. 624-626 ◽  
Author(s):  
Gerhard Marquardt ◽  
Soledad M. Barduzal Angles ◽  
Fouad D. Leheta ◽  
Volker Seifert

✓ A rare case of peripheral-nerve compression in the upper arm caused by a spontaneous venous aneurysm is reported. The apparent dysfunction of the median nerve led to various vain surgical explorations of the nerve at different levels. The real localization of nerve entrapment was identified by a thorough clinical examination, and sonography yielded a correct diagnosis. Surgical resection of the venous aneurysm resulted in complete relief of pain. To the authors' knowledge, this is the first report of a spontaneous venous malformation in the upper arm causing focal neuropathy.


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