Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation
Massive cerebral and spinal gas embolism occurs rarely as a complication of discectomy. We report a 54-year-old female who had undergone a discectomy (L3/4 and L4/5) under epidural anesthesia in a local hospital developed multiple massive gas embolisms. At closure, surgeons irrigated the incision wo...
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Wiley
2015-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/497340 |
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| author | Junjie Zhang Chengliang Zhang Jianqin Yan |
| author_facet | Junjie Zhang Chengliang Zhang Jianqin Yan |
| author_sort | Junjie Zhang |
| collection | DOAJ |
| description | Massive cerebral and spinal gas embolism occurs rarely as a complication of discectomy. We report a 54-year-old female who had undergone a discectomy (L3/4 and L4/5) under epidural anesthesia in a local hospital developed multiple massive gas embolisms. At closure, surgeons irrigated the incision wound with hydrogen peroxide. Soon after the irrigation, the patient suddenly developed tachycardia, hypotension, and rapid oxygen desaturation. Subsequently, patient progressed into unconsciousness and right hemianopsia quadriplegia. Computed tomography (CT) scan showed multiple hypointensity spots around the brain due to cerebral gas embolism, which indicated the pneumoencephalos. The likely mechanism was the absorption of hydrogen peroxide into blood. When the amount of oxygen evolved exceeded its maximal blood solubility, venous embolization occurred. Though the patient was treated with supportive treatments and hyperbaric oxygen, she did not get full recovery and was left with severe long-term cerebral injury. |
| format | Article |
| id | doaj-art-6d3b27bf10ba437eb94a4f58d9982349 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-6d3b27bf10ba437eb94a4f58d99823492025-08-20T03:33:51ZengWileyCase Reports in Neurological Medicine2090-66682090-66762015-01-01201510.1155/2015/497340497340Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide IrrigationJunjie Zhang0Chengliang Zhang1Jianqin Yan2Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha 410008, ChinaDepartment of Cardiothoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, ChinaDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha 410008, ChinaMassive cerebral and spinal gas embolism occurs rarely as a complication of discectomy. We report a 54-year-old female who had undergone a discectomy (L3/4 and L4/5) under epidural anesthesia in a local hospital developed multiple massive gas embolisms. At closure, surgeons irrigated the incision wound with hydrogen peroxide. Soon after the irrigation, the patient suddenly developed tachycardia, hypotension, and rapid oxygen desaturation. Subsequently, patient progressed into unconsciousness and right hemianopsia quadriplegia. Computed tomography (CT) scan showed multiple hypointensity spots around the brain due to cerebral gas embolism, which indicated the pneumoencephalos. The likely mechanism was the absorption of hydrogen peroxide into blood. When the amount of oxygen evolved exceeded its maximal blood solubility, venous embolization occurred. Though the patient was treated with supportive treatments and hyperbaric oxygen, she did not get full recovery and was left with severe long-term cerebral injury.http://dx.doi.org/10.1155/2015/497340 |
| spellingShingle | Junjie Zhang Chengliang Zhang Jianqin Yan Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation Case Reports in Neurological Medicine |
| title | Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation |
| title_full | Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation |
| title_fullStr | Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation |
| title_full_unstemmed | Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation |
| title_short | Massive Cerebral Gas Embolism under Discectomy due to Hydrogen Peroxide Irrigation |
| title_sort | massive cerebral gas embolism under discectomy due to hydrogen peroxide irrigation |
| url | http://dx.doi.org/10.1155/2015/497340 |
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