Abstract

KOSUKE TSUBAKI, Satoki Inoue  and  KAWAGUCHI, Masahiko. A diagnostic dilemma in an alert patient with pulmonary oedema following craniotomy: A case report. Rev. colomb. anestesiol. [online]. 2017, vol.45, suppl.1, pp.71-75. ISSN 0120-3347.

Introduction: We present a case developing idiopathic pulmonary oedema following craniotomy without any neurological symptoms. Case description: A 70-year-old female, who had unremarkable medical history, underwent removal of brain tumour under general anaesthesia. Craniotomy was uneventfully performed and her respiratory and haemodynamic conditions during the operation were normal. Immediately after the operation, she regained consciousness and was neurologically intact. However, her oxygenation was not sufficient without oxygen administration, her chest X-ray showed pulmonary oedema. Gradually, her pulmonary oedema in the chest X-rays disappeared. There was no specific reason of pulmonary oedema except for intracranial manipulation, therefore, it was considered as neurologic pulmonary oedema. Conclusion: In this case, we merely might have followed the restoration process from neurologic pulmonary oedema developing during the operation.

Keywords : Neurosurgery; Pulmonary edema; Perioperative period; Meningioma; General Anesthesia.

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