Amat Cecilia M, Romero Pérez P
Seccíon de Urología, Hospital General Marina Alta, Denia, Alicante, España.
Arch Esp Urol. 1994 Sep;47(7):690-3.
CNS changes following transurethral resection of the prostate are uncommon, but not insignificant. The foregoing condition may result from different causes including hemolysis, hyponatremia, brain edema, the use of atropine, or even postoperative vascular accidents, transient blindness being one of the most striking symptoms. The different etiologies are reviewed and a case of transient amaurosis, which we ascribe to brain edema, is analyzed. We underscore the importance of a detailed examination by the different specialists in order to institute the appropriate treatment and benefit patient recovery.
经尿道前列腺切除术后的中枢神经系统变化并不常见,但并非无足轻重。上述情况可能由多种不同原因引起,包括溶血、低钠血症、脑水肿、阿托品的使用,甚至术后血管意外,短暂性失明是最显著的症状之一。本文综述了不同的病因,并分析了一例我们认为由脑水肿引起的短暂性黑矇病例。我们强调不同专科医生进行详细检查的重要性,以便采取适当的治疗措施,促进患者康复。