Open AccessPostoperative acute anisocoria and old traumatic brain injury
Author(s) -
Tanmoy Ghatak,
Rajni Singh,
Arvind Kumar Baronia,
Sandeep Sahu
Publication year - 2011
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.90620
Subject(s) - anisocoria , medicine , traumatic brain injury , anesthesia , intracranial pressure monitoring , general anaesthesia , intracranial pressure , midline shift , surgery , computed tomography , pupil , neuroscience , psychiatry , biology
Anisocoria is an uncommon entity in general postoperative intensive care. We present a case of a 45-year-old man suffering from severe acute pancreatitis with a past history of traumatic brain injury (TBI), who developed hypertension, bradycardia and anisocoria soon after re-exploration surgery under general anaesthesia. Computed tomography showed no new lesion. Measures directed towards reducing intracranial pressure resulted in amelioration in about 12h. The possible role of old TBI in the causation of anisocoria during general anaesthesia and resuscitation has been explored in this report.