Ghatak Tanmoy, Singh Ratender K, Baronia Arvind K, Sahu Sandeep
Department of Critical Care Medicine, SGPGIMS, Lucknow, Uttar Pradesh, India.
Indian J Anaesth. 2011 Nov;55(6):611-3. doi: 10.4103/0019-5049.90620.
Anisocoria is an uncommon entity in general postoperative intensive care. We present a case of a 45-year-old man suffering from severe acute pancreatitis with a past history of traumatic brain injury (TBI), who developed hypertension, bradycardia and anisocoria soon after re-exploration surgery under general anaesthesia. Computed tomography showed no new lesion. Measures directed towards reducing intracranial pressure resulted in amelioration in about 12h. The possible role of old TBI in the causation of anisocoria during general anaesthesia and resuscitation has been explored in this report.
在一般的术后重症监护中，瞳孔不等大是一种不常见的情况。我们报告一例45岁男性，患有严重急性胰腺炎，既往有创伤性脑损伤（TBI）病史，在全身麻醉下再次手术后不久出现高血压、心动过缓和瞳孔不等大。计算机断层扫描未显示新的病变。针对降低颅内压的措施在约12小时后使症状得到改善。本报告探讨了陈旧性TBI在全身麻醉和复苏过程中导致瞳孔不等大的可能作用。
