1. Intraoperative anisocoria in a child during renal transplantation.
- Author
-
Rempf C, Helmke K, Gottschalk A, Farokhzad F, and Burmeister MA
- Subjects
- Anesthesia, General adverse effects, Anesthetics, Intravenous administration & dosage, Anisocoria chemically induced, Anisocoria drug therapy, Atracurium administration & dosage, Blood Flow Velocity drug effects, Blood Pressure drug effects, Child, Epinephrine administration & dosage, Etomidate administration & dosage, Humans, Male, Mydriasis etiology, Mydriatics administration & dosage, Neuromuscular Nondepolarizing Agents administration & dosage, Orbit diagnostic imaging, Retinal Artery drug effects, Sufentanil administration & dosage, Ultrasonography, Doppler, Transcranial, Anisocoria diagnosis, Intraoperative Complications etiology, Kidney Transplantation
- Abstract
Anisocoria during anaesthesia may indicate a serious neurological condition. Assessment by physical examination and diagnostic imaging is limited during surgery and anaesthesia. We report a case of a boy undergoing renal transplantation, who suffered from anisocoria during general anaesthesia. A transcranial sonography was performed, showing no intracranial pathology. However, retinal hypoperfusion detected with orbital doppler sonography was a plausible explanation for anisocoria.
- Published
- 2008
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