Intraoperative Neurophysiological Evidence of Hydrogen Peroxide-Induced Stroke in Insular Tumor Surgery

被引：1
|
作者：
Leon Jorba, Alba [1 ]
Lopez Cuina, Miguel [1 ]
Principe, Alessandro [1 ]
Villalba Martinez, Gloria [2 ]
机构：
[1] Parc de Salut Mar, Dept Neurol, Barcelona, Spain
[2] Parc de Salut Mar, Dept Neurosurg, Barcelona, Spain
来源：
TURKISH NEUROSURGERY | 2015年 / 25卷 / 04期
关键词：
Brain tumors; Hemostasis; Hydrogen peroxide; Intraoperative neurophysiological monitoring; Stroke; CLINICAL ARTICLE; IRRIGATION; EMBOLISM;
D O I：
10.5137/1019-5149.JTN.11387-14.1
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Hydrogen peroxide (H2O2) is commonly used as a haemostatic agent in all type of surgeries. Some adverse effects have been described related to its use. However, only very few cases are published in the literature of a stroke associated with the application of this agent directly to the brain. We present the case of a patient operated on for a right insular tumor with the assistance of intraoperative neurophysiological monitoring who developed a postoperative severe hemiparesis caused by a stroke in left middle cerebral artery territory due to the irrigation with H2O2. Based on this case, we recommend avoiding the H2O2 irrigation for hemostasis in surgery for brain tumors when vascular structures are exposed.
引用
收藏
页码：674 / 677
页数：4
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