TITLE:
Surgicel Induced Intraoperative Cardiovascular Collapse in a Child with Midbrain Glioma
AUTHORS:
Evgeni Brotfain, Akiva Korn, Micky Gidon, Alexander Zlotnik, Moti Klein, Israel Melamed
KEYWORDS:
Thalamic Glioma, Pediatric Neurosurgery, Cardiovascular Collapse, Surgicel-Induced Hypotension, Extracellular Acidosis
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.4 No.1,
January
21,
2015
ABSTRACT: Introduction: Intraoperative cardiovascular complications were previously demonstrated in relation to high sympathetic nervous system outflow or stimulation of the vagal nerve nucleus during theneurosurgical procedures on brain tumors. Main Symptoms and Important Clinical Findings: We are presenting clinical case of 13-year-old girl who suffered from midbrain glioma and developed life threatening cardiovascular events during neurosurgical procedure after surgicel hemostatic agent application. Therapeutic Interventions and Outcomes: Cardiovascular stability has been restored after immediate removal of surgicel from the operating field. We believe that it might be related to direct application of the surgicel hemostatic agent.