Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2017.04.002
Brazilian Journal of Anesthesiology
Clinical Information

Internal carotid artery dissection after laparoscopic surgery

Dissecção da artéria carótida interna após cirurgia laparoscópica

Esperanza Martín-Mateos; Manuel Ángel Gómez-Ríos; Enrique Freire-Vila

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Abstract

Abstract Headache is a common symptom in the postoperative period and may be attributable to, dehydration, sleep deprivation, intentional or inadvertent dural puncture during a neuraxial anesthesia technique, from an inhaled anesthetic agent, or from specific surgical procedures, among other etiologies. However, more serious, uncommon and life-threatening conditions as carotid artery dissection can be associated with severe neurologic sequelae in otherwise young, healthy patients. For these reasons, clinicians involved with postoperative patients should be familiar with the presentation and management strategies for this complication.

Keywords

Carotid dissection, Anesthesia, Laparoscopy, Complication

Resumo

Resumo A cefaleia é um sintoma comum no período pós-operatório e pode ser atribuída à desidratação, privação do sono, punção dural intencional ou acidental durante a administração de anestesia neuraxial, ao anestésico inalatório ou a procedimentos cirúrgicos específicos, entre outras etiologias. Entretanto, condições mais graves, incomuns e potencialmente fatais, como a dissecção da artéria carótida, podem estar associadas a sequelas neurológicas graves em pacientes jovens e, sob outros aspectos, saudáveis. Portanto, os médicos envolvidos com pacientes pós-operados devem estar familiarizados com as estratégias de apresentação e manejo dessa complicação.

Palavras-chave

Dissecção carotídea, Anestesia, Laparoscopia, Complicação

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